Hospital Discharge Instructions: Comprehension and Compliance Among Older Adults

Journal of General Internal Medicine

Volumn 29, Issue 11, 2014, Pages 1491-1498

  Albrecht, J S ^a   Gruber Baldini, A L ^b   Hirshon, J M ^b   Brown, C H ^b,c   Goldberg, R ^b,c   Rosenberg, J H ^b   Comer, A C ^b   Furuno, J P ^d  

^a UNIVERSITY OF MARYLAND SCHOOL OF PHARMACY   (United States)

^b UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   (United States)

^c and Clinical Center   (United States)

^d OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

compliance; comprehension; hospital discharge instructions; older adults

Indexed keywords

AFTERCARE; AGED; COMPREHENSION; FEMALE; HEALTH LITERACY; HOSPITAL DISCHARGE; HUMAN; MALE; MEDICATION COMPLIANCE; PATIENT COMPLIANCE; PROSPECTIVE STUDY; RISK FACTOR; STANDARDS; STATISTICS AND NUMERICAL DATA; UNITED STATES;

AFTERCARE; AGED; COMPREHENSION; FEMALE; HEALTH LITERACY; HUMANS; MALE; MARYLAND; MEDICATION ADHERENCE; PATIENT COMPLIANCE; PATIENT DISCHARGE; PROSPECTIVE STUDIES; RISK FACTORS;

EID: 84930896592     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-014-2956-0     Document Type: Article

References (40)

1. Coleman EA, Chugh A, Williams MV et al. Understanding and Execution of Discharge Instructions. Am J Med Qual. 2013;28(5):383–391
2. Chugh A, Williams MV, Grigsby J, et al. Better Transitions: Improving Comprehension of Discharge Instructions. Front Health Serv Manag. 2009;25:3.
3. Engel K, Heisler M, Smith D, et al. Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Ann Emerg Med. 2009;53:454–461.e15.
4. James T, Smith P, Brice J. Self-reported discharge instruction adherence among different racial groups seen in the emergency department. J Natl Med Assoc. 2010;102:931–936.
5. Makaryus AN, Friedman EA. Patients’ understanding of their treatment plans and diagnosis at discharge. Mayo Clin Proc. 2005;80(8):991–994.
6. Spandorfer JM, Karras DJ, Hughes LA, et al. Comprehension of discharge instructions by patients in an urban emergency department. Ann Emerg Med. 1995;25:71–74.
7. Hastings SN, Barrett A, Weinberger M, et al. Older patients’ understanding of emergency department discharge information and Its relationship with adverse outcomes. J Patient Saf. 2011;7:19–25.
8. Karliner LS, Auerbach A, Napoles A, et al. Language barriers and understanding of hospital discharge instructions. Med Care. 2012;50:283–289.
9. Clarke C, Friedman SM, Shi K, et al. Emergency department discharge instructions comprehension and compliance study. CJEM. 2005;7(1):5–11.
10. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare Fee-for-Service Program. JAMA. 2009;360:1418–1428.
11. Stanton MW, Rutherford MK. The high concentration of U.S. health care expenditures. Rockville (MD): Agency for Healthcare Research and Quality; 2005. Research in Action Issue 19. AHRQ Pub. No. 06-0060.
12. Boustani M, Baker MS, Campbell N, et al. Impact and recognition of cognitive impairment among hospitalized elders. J Hosp Med. 2010;5(2):69–75.
13. Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003;138(3):161–7.
14. Coleman E. Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs. J Am Geriatr Soc. 2003;51:549–555.
15. Albrecht JS, Gruber-Baldini AL, Hirshon JM, Brown CH, Goldberg R, Rosenberg JH, Comer AC, Furuno JP. Depressive symptoms and hospital readmission in older adults. J Am Geriatr Soc. 2014;62(3):495–9.
16. Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–198.
17. Sheikh VI, Yesavage VA. Geriatric depression scale (GDS): Recent evidence and development of a shorter version. In: Brink TL, ed. Clinical Gerontology: A Guide to Assessment and Intervention. New York: Hawthorn Press; 1986:165.
18. Lesher E, Berryhill J. Validation of the geriatric depression scale—short-form among inpatients. J Clin Psychol. 1994;50:256–260.
19. Katz S, Ford AB, Moscowitz RW, et al. Studies of illness in the aged: The index of ADL: A standardized measure of biological and psychosocial function. JAMA. 1963;185:914.
20. Lubben J, Blozik E, Gillmann G, et al. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist. 2006;46:503–513.
21. Charlson M, Szatrowski T, Peterson J, et al. Validation of a combined comorbidity index. J Clin Epidemiol. 1994;47:1245–1251.
22. Harris A, Furuno J, Roghmann M, et al. Targeted surveillance of methicillin-resistant Staphylococcus aureus and its potential use to guide empiric antibiotic therapy. Antimicrob Agents Chemother. 2010;54:3143–3148.
23. Furuno J, McGregor J, Harris A, et al. Identifying groups at high risk for carriage of antibiotic-resistant bacteria. Arch Intern Med. 2006;166:580–585.
24. Centers for Medicare & Medicaid Services. Chronic Conditions Warehouse. Available at: http://www.ccwdata.org/chronic-conditions/index.htm. Accessed 5/30/14.
25. Buie VC, Owings MF, DeFrances CJ, Golosinskiy A. National Hospital Discharge Survey: 2006 summary. Vital Health Stat 13(168) 2010. Washington, DC: National Center for Health Statistics; 2010;13. Available from: http://www.cdc.gov/nchs/data /series/sr_13/sr13_168.pdf. Accessed 5/30/14
26. Centers for Medicare and Medicaid Services. Revision to State Operation Manual, Hospital Appendix A, Interpretive Guidelines for 42 CFR 48243, Discharge Planning. May, 2013. Available at: http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-13-32.html. Accessed 5/30/14.
27. Joint Commission on Accreditation of Healthcare Organizations. Specifications manual for national implementation of hospital core measures Available at: http://www.jointcommission.org/national_hospital_quality_measures_-_icu/. Accessed 5/30/14.
28. Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986;24:67.
29. Horwitz LI, Moriarty JP, Chen C, et al. Quality of discharge practices and patient understanding at an academic medical center. JAMA Inter Med. 2013;173(18):1715–22.
30. Cameron C. Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens. J Adv Nursmg. 1996;24:244–250.
31. Cruess DG, Localio AR, Platt AB, et al. Patient attitudinal and behavioral factors associated with warfarin non-adherence at outpatient anticoagulation clinics. Int J Behav Med. 2010;17:33–42.
32. Gonzalez JS, Penedo FJ, Antoni MH, et al. Social support, positive states of mind, and HIV treatment adherence in men and women living with HIV/AIDS. Health Psychol. 2004;23:413–418.
33. National Cancer Institute. Theory at a Glance: A Guide for Health Promotion Practice (Second Edition). 2005. U.S. Department of Health and Human Resources, National Institutes of Health. Available online at: http://www.cancer.gov/cancertopics/cancerlibrary/theory.pdf. Accessed 5/30/14.
34. Kravitz RL, Hays RD, Sherbourne CD, et al. Recall of recommendations and adherence to advice among patients with chronic medical conditions. Arch Intern Med. 1993;153:1869–1878.
35. Benner J, Glynn R, Mogun H, et al. Long-term persistence in use of statin therapy in elderly patients. JAMA. 2002;288:455–461.
36. Osterberg L, Blaschke T. Adherence to medication. N Engl J Med. 2005;353:487–497.
37. Nelson EA, Maruish ME, Axler JL. Effects of discharge planning and compliance with outpatient appointments on readmission rates. Psychiatr Serv. 2000;51:885–889.
38. Grenard J, Munjas B, Adams J, et al. Depression and Medication Adherence in the Treatment of Chronic Diseases in the United States: A Meta-Analysis. J Gen Int Med. 2011;26(10):1175–1182.
39. Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes impact of depressive symptoms on adherence, function, and costs. Arch Intern Med. 2000;160:3278–3285.
40. Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization a randomized trial. Ann Intern Med. 2009;150:178.