The Influence of Provider Connectedness on Continuity of Care and Hospital Readmissions in Patients With COPD: A Claims Data-Based Social Network Study

Forstner, Johanna; Koetsenruijjter, Jan; Arnold, Christine; Laux, Gunter; Wensing, Michel

doi:10.15326/jcopdf.2022.0359

Cited by 2 publications

(1 citation statement)

References 42 publications

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“…In addition, multiple medical diagnoses and NDs are usually assigned by different subgroups of professionals, leading to a great complexity of cases and added difficulty for data analysis and interpretation of findings. Furthermore, it would have been desirable to have social information and data on follow‐up visits and community follow‐up of patients, since it is known that continuity of care is a key factor in preventing HR due to respiratory pathology (Forstner et al., 2023). Finally, although the analysis of ND was adjusted for important predictors of HR, some residual confounding bias cannot be ruled out.…”

Section: Discussionmentioning

confidence: 99%

Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Suárez‐González,

Suárez‐Elosegui,

Arias‐Fernández

et al. 2024

Nursing Open

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AimThe rate of readmission after hospitalisation for respiratory diseases has become a common and challenging clinical problem. Social and functional patient variables could help identify cases at high risk of readmission. The aim was to identify the nursing diagnoses that were associated with readmission after hospitalisation for respiratory disease in Spain.DesignCase‐control study within the cohort of patients admitted for respiratory disease during 2016–19 in a tertiary public hospital in Spain (n = 3781).MethodsCases were patients who were readmitted within the first 30 days of discharge, and their controls were the remaining patients. All nursing diagnoses (n = 130) were collected from the electronic health record. They were then grouped into 29 informative diagnostic categories. Clinical confounder‐adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated using logistic regression models.ResultsThe readmission rate was 13.1%. The nursing diagnoses categories ‘knowledge deficit’ (OR: 1.61; 95%CI: 1.13–2.31), ‘impaired skin integrity and risk of ulcer infection’ (OR: 1.45; 95%CI: 1.06–1.97) and ‘activity intolerance associated with fatigue’ (OR: 1.56; 95%CI: 1.21–2.01) were associated with an increased risk of suffering an episode of hospital readmission rate at 30% after hospital discharge, and this was independent of sociodemographic background, care variables and comorbidity.Patient or public contributionThe nursing diagnoses assigned as part of the care plan of patients during hospital admission may be useful for predicting readmissions.

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Section: Discussionmentioning

confidence: 99%

Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Suárez‐González,

Suárez‐Elosegui,

Arias‐Fernández

et al. 2024

Nursing Open

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A Scoping Review of Multilevel Patient-Sharing Network Measures in Health Services Research

Korsberg,

Cornelius,

Awa

et al. 2024

Med Care Res Rev

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Social network analysis is the study of the structure of relationships between social entities. Access to health care administrative datasets has facilitated use of “patient-sharing networks” to infer relationships between health care providers based on the extent to which they have encounters with common patients. The structure and nature of patient-sharing relationships can reflect observed or latent aspects of health care delivery systems, such as collaboration and influence. We conducted a scoping review of peer-reviewed studies that derived patient-sharing network measure(s) in the analyses. There were 134 papers included in the full-text review. We identified and created a centralized resource of 118 measures and uncovered three major themes captured by them: Influential and Key Players, Care Coordination and Teamwork, and Network Structure and Access to Care. Researchers may use this review to inform their use of patient-sharing network measures and to guide the development of novel measures.

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The Influence of Provider Connectedness on Continuity of Care and Hospital Readmissions in Patients With COPD: A Claims Data-Based Social Network Study

Abstract: For personal use only. Permission required for all other uses.

Cited by 2 publications

References 42 publications

Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

Nursing diagnoses and hospital readmission of patients with respiratory diseases: Findings from a case–control study

A Scoping Review of Multilevel Patient-Sharing Network Measures in Health Services Research

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