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. 2016 Jun;51(3):1135-51.
doi: 10.1111/1475-6773.12401. Epub 2015 Oct 20.

Hospital Readmission Rates in U.S. States: Are Readmissions Higher Where More Patients with Multiple Chronic Conditions Cluster?

Jayasree Basu  1 , Rosa Avila  2 , Richard Ricciardi  1
Affiliations

Hospital Readmission Rates in U.S. States: Are Readmissions Higher Where More Patients with Multiple Chronic Conditions Cluster?

Jayasree Basu et al. Health Serv Res. 2016 Jun.

Abstract

Research objective: This study examines small area variations in readmission rates to assess whether higher readmission rate in an area is associated with higher clusters of patients with multiple chronic conditions.

Study design: The study uses hospital discharge data of adult (18+) patients in 6 U.S. states for 2009 from the Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality, linked to contextual and provider data from Health Resources and Services Administration. A multivariate cross sectional design at primary care service area (PCSA) level is used.

Principal findings: Adjusting for area characteristics, the readmission rates were significantly higher in PCSAs having higher proportions of patients with 2-3 chronic conditions and those with 4+ chronic conditions, compared with areas with a higher concentration of patients with 0-1 chronic conditions.

Conclusions: Using small area analysis, the study shows that areas with higher concentration of patients with increased comorbid conditions are more likely to have higher readmission rates.

Keywords: Hospital readmissions; U.S. states; comorbidities; multiple chronic conditions; small area analysis.

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Figures

Figure 1
Figure 1
Conceptual Framework for Readmission

  1. Note. Readmission occurs after the patient is discharged from the index hospital admission.

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References

    1. Aday, L. A. , Begley C. E., Lairson D. R., and Slater C. H.. 1998. Evaluating the Healthcare System: Effectiveness, Efficiency, and Equity. Chicago, IL: Health Administration Press.
    1. AHRQ . 2004. Agency for Healthcare Research and Quality: Healthcare Cost and Utilization Project (HCUP). Rockville, MD: AHRQ; [accessed on April 1, 2015]. Available at http://www.hcup-us.ahrq.gov/db/state/siddbdocumentation.jsp - PubMed
    1. Andersen, R. M. 1995. “Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?” Journal of Health and Social Behavior 36 (March): 1–10. - PubMed
    1. Ashton, C. M. , and Wray N. P.. 1996. “A Conceptual Framework for the Study of Early Readmission as an Indicator of Quality of Care.” Social Science and Medicine 43 (11): 1533–41. - PubMed
    1. Capelastegui, A. , España P. P., Quintana J. M., Gallarreta M., Gorordo I., Esteban C., Urrutia I., and Bilbao A.. 2008. “Declining Length of Hospital Stay for Pneumonia and Postdischarge Outcomes.” American Journal of Medicine 121 (10): 845–52. - PubMed

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