Can home visits help reduce hospital readmissions? Randomized controlled trial

Abstract

Preventive home visits were not effective in reducing hospital readmissions, but satisfaction with care was enhanced. Subjective well-being is a key variable that warrants attention in the planning and evaluation of postdischarge home care.

Wellness and Religious Coping Among Thai Individuals Living with Chronic Kidney Disease in Southern California

“…Experiences of these participants and their ways of coping with CKD align with a model of care as articulated by various studies such as the goal to control symptoms, prevent complications, and promote healthy lifestyle that can slow down the progression of chronic diseases (Rothman and Wagner 2003). Further, goals include the need for accurate assessment in order to provide comprehensive treatments (Wong et al 2008) and the importance of employing four components such as comprehensiveness, collaboration, coordination, and continuity (Yu et al 2006). Thus, a model of care, as implied by the experiences of these participants, can help facilitate management of CKD.…”

Thirty‐Day Readmission Rates, Timing, Causes, and Costs after ST‐Segment–Elevation Myocardial Infarction in the United States: A National Readmission Database Analysis 2010–2014

“…Given that one third of 30‐day readmissions occur during days 15 through 30 after hospitalization, meticulous attention should be paid to the period beyond the initial follow‐up visit within 1 to 2 weeks of hospitalization. This may partly explain why outpatient interventions have been ineffective in reducing 30‐day readmissions when close outpatient follow‐up was lacking 17. The timing of 30‐day readmissions highlights the importance of both early outpatient care and longitudinal surveillance strategies within 30 to 90 days following hospitalization 18.…”

Diagnoses and Timing of 30-Day Readmissions After Hospitalization for Heart Failure, Acute Myocardial Infarction, or Pneumonia

“…38 In contrast, single randomized interventions or strategies delivered by one expert have more often failed. 35,36,39–42 …”

“…43 The preponderance of early readmissions may also explain why exclusively outpatient interventions have often been ineffective in reducing 30-day readmissions that may have occurred before initial follow-up. 41,42 In contrast, strategies involving the combination of inpatient and early outpatient interventions with the use of tools that facilitate cross-site communication have lowered readmissions that occur soon after discharge. 44,45 However, as about one-third of 30-day readmissions occur during days 16–30 after hospitalization, many patients require substantial attention well beyond the initial follow-up visit.…”