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Autor/inn/enCardarelli, Roberto; Horsley, Mary; Ray, Lisa; Maggard, Nancy; Schilling, Jennifer; Weatherford, Sarah; Feltner, Fran; Gilliam, Kayla
TitelReducing 30-Day Readmission Rates in a High-Risk Population Using a Lay-Health Worker Model in Appalachia Kentucky
QuelleIn: Health Education Research, 33 (2018) 1, S.73-80 (8 Seiten)Infoseite zur Zeitschrift
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0268-1153
DOI10.1093/her/cyx064
SchlagwörterLay People; Health Education; Health Promotion; At Risk Persons; Rural Areas; Hospitals; Quasiexperimental Design; Patients; Needs; Program Effectiveness; Social Support Groups; Needs Assessment; Planning; Statistical Analysis; Records (Forms); Transportation; Anxiety; Kentucky
AbstractThis exploratory study aimed to address the effectiveness of a lay-health worker (LHW) model in addressing social needs and readmissions of high-risk patients admitted in a rural community hospital. A quasi-experimental study design assessed implementation of a LHW model for assisting high-risk patients with their post-discharge social needs. Outcome measures included 30-day hospital readmissions rates during a 4-month baseline period compared with a 6-month post-implementation period. The LHW intervention involved assessment and development of a personalized social needs plan for enrolled patients (e.g. transportation and community resource identification), with post-discharge follow-up calls. There was a 47.7% relative reduction of 30-day hospital readmissions rates between baseline and intervention phases of the study. Simple regression analyses demonstrated a 56% decrease in odds (90% confidence interval 0.20-0.98) in being readmitted within 30-days among those in the intervention phase compared with those in the baseline phase. Once adjusting for education, transportation cost and anxiety symptoms, there was a 77% decrease in odds among those exposed to the LHW program. LHWs offer an effective hospital-based model to improve transitions in care from the hospital setting, especially those at high-risk with persistent social needs. (As Provided).
AnmerkungenOxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2020/1/01
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