Use of Postdischarge Emergency Medical Services to Reduce Hospital Readmissions: Does It Work and Is It Economically Feasible?
| Autor: | Heith Good, Nathan Jennings, Chris Grile, Mitchell Kaminski, Joseph M. Geskey, Albert G. Crawford |
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| Rok vydání: | 2019 |
| Předmět: |
Male
endocrine system Emergency Medical Services Leadership and Management Cost effectiveness Cost-Benefit Analysis Aftercare Patient Readmission 03 medical and health sciences 0302 clinical medicine Emergency medical services medicine Humans In patient 030212 general & internal medicine Care Transitions Retrospective Studies Chronic care business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health medicine.disease Patient Discharge United States Work (electrical) Community health Feasibility Studies Female Medical emergency 0305 other medical science business |
| Zdroj: | Population health management. 23(3) |
| ISSN: | 1942-7905 |
| Popis: | A new model of community health delivery has utilized emergency medical services (EMS) to manage care transitions and provide chronic care services in patients' homes. The authors performed a retrospective, case-controlled analysis of a quality improvement project that examined whether an EMS home visit to recently discharged inpatients from the zip code where EMS provides services can reduce 30-day unscheduled ED visits and hospital readmissions. Additionally, the financial impact from the perspective of the community-based EMS provider and the community hospital from which patients were discharged was examined. A total of 53 patients and 53 controls were matched on the following variables: readmission risk score, age, sex, insurance status, and case management intervention. Patients who received the intervention had a 44% relative reduction of 30-day ED visits (17% vs 24.5% |
| Databáze: | OpenAIRE |
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