Prevention of Early Readmissions in the Chronically Medically Ill Patient

Autor:	Mark W. Ketterer
Rok vydání:	2019
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Mortality rate Health services research Health psychology Psychoeducation medicine Cognitively impaired business Intensive care medicine Cognitive impairment Medicaid Healthcare system
Zdroj:	Journal of Health Service Psychology. 45:23-27
ISSN:	2662-2653 2662-2645
DOI:	10.1007/bf03544677
Popis:	Avoidable early hospital readmissions (30 days or fewer) in chronically medically ill patients have become a matter of importance in the U.S. healthcare system. Unexplained hospital-to-hospital variability wastes financial resources, results in Medicare/Medicaid penalties, and causes poor medical outcomes (including elevated death rates). The primary cause of this problem appears to be inadequate discharge preparation/planning. Behavioral factors, most commonly unrecognized cognitive impairment, play a significant role in early readmissions and may lead to dysadherence. Careful evaluation of psychological factors can enhance identification of the cognitively impaired patient, and permit psychoeducation of the patient/family to avoid future medical crises.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::0f624057bf8fbaac63f5c2926d6da6da https://doi.org/10.1007/bf03544677 Zobrazit plný text záznamu Full text from SpringerLink