Navigation Links
'Social environmental factors' affect rehospitalization risk in home healthcare patients
Date:11/12/2012

Philadelphia, Pa. (November 12, 2012) For elderly patients receiving home healthcare after a hospital stay, "social environmental factors"particularly care provided by a family member or other informal caregiverhave a significant impact on the risk of repeated hospital admissions, reports a study in the October-December issue of Advances in Nursing Science. The journal is published by Lippincott Williams & Wilkins, a part ofWolters Kluwer Health.

"Understanding how social environmental factors contribute to home healthcare patients being rehospitalized would be assist in improving care for patients and in helping agencies deliver more cost-effective care while at the same time managing Medicare spending," according to the report by Hong Tao, RN, PhD, of University of Wisconsin Milwaukee and colleagues.

Social Environmental Factors Affect Functional Abilities

The study looked at factors affecting the risk of repeated hospital admissions among 1,268 elderly patients receiving home healthcare. Using data from routine, Medicare-required assessments, the researchers focused on the importance of social environmental factors: such as whether the patient lived alone or with others, whether he or she had a primary informal caregiver, and the type and frequency of informal care provided.

Overall, nearly 21 percent of patients in the study were rehospitalized, most within the first 20 days of being discharged from the hospital to home healthcare. Rehospitalizationsdefined as readmission to the hospital within 60 days after being released from the hospital to home careare an important indicator of the quality of care.

The study found some significant associations between social environmental factors, and suggested some pathways by which these effects occur. Patients' functional abilitytheir ability to take care of themselveswas influenced by their living arrangements and by the type and frequency of informal care they received.

The greater the difference between the patients' clinical condition and functional status, the greater the risk of rehospitalization. Social environmental factors contributed to the risk of repeated hospital admission by altering the balance between the patient's need for and ability to provide self-care.

With 'Self-Care Deficit' Leading to Repeat Hospitalizations

Changes in clinical condition placed increased demands on the patient's ability to care for himself or herself, while at the same time making it more difficult to provide self-care. Consistent with a central nursing theory, the resulting "self-care deficit" was linked to an increased risk of rehospitalization.

The amount of care and assistance received from informal caregivers had an important impact on self-care ability and rehospitalization risk. Other patient characteristics linked to self-care deficit included obesity and cognitive (intellectual) ability. Patients living alone were less likely to be rehospitalizedperhaps because those choosing to live alone were better able to functional independently and care for themselves.

Few previous studies have looked at how social environmental factors in general, and informal caregivers in particular, affect patient outcomes. Rehospitalization is considered a "major adverse event" in home care. "Rehospitalizations are costly and in many cases preventable," Dr Tao and colleagues explain. One recent study found that 20 percent of hospitalized Medicare beneficiaries are readmitted within 30 days, with costs accounting for one-sixth of the total Medicare budget.

Dr Tao and colleagues believe their study has implications for strategies to reduce unnecessary rehospitalizations and improve the quality of home healthcare. "[Our] findings may help home healthcare nurses to recognize those patients who are in need of certain services that may reduce hospitalization, such as those that lack the support of the patient's family or assistance from paid informal caregivers," they write. Patients with good social environmental support are "more likely to have a higher functional ability and thus remain in their homes, the first choice of most patients."

The study also reaffirms the important role of informal caregivers in maintaining home healthcare patients. The authors add, "Informal caregivers are part of the solution in preventing unnecessary hospitalizations and more attention needs to be given to how these caregivers are supported in their roles."


'/>"/>

Contact: Connie Hughes
Connie.Hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. Obesity epidemic threatens health of all social groups equally
2. Physicians fail to disclose conflicts of interest on social media
3. New form of brain plasticity: Study shows how social isolation disrupts myelin production
4. Allergists find value in social media to educate and connect
5. Parents Social Anxiety May Raise Kids Risk for Anxiety Disorder
6. Heart disease map of England highlights growing social inequality in older ages
7. ESDM early intervention improves brain activity associated with social cues
8. Nursing and social work students learning to work together at UT Arlington
9. Study reveals teenage patients attitude towards social media and privacy
10. Only half of adults say schools should take action when kids bully with social isolation
11. What are the social implications of medical screening?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/29/2017)... ... ... Grass pollen is the main cause of hay fever in the United States, with an ... runs from May to July each year; with the worst time for sufferers being June ... balms ( http://www.haymax.us ) provide an effective defense against grass pollen; they are proven in ...
(Date:3/29/2017)... ... March 30, 2017 , ... Youth Futures International (YFI) premiered its ... from high school and college students who have participated in the program every summer. ... YFI is now accepting applications for enrollment. Visit http://www.ghana.yfiexperience.org to learn ...
(Date:3/29/2017)... ... March 30, 2017 , ... Sports Brand EXOUS Bodygear announced today ... normally at $29.97; for the remaining days of March, the price will be only ... a special price of just $10 (regular retail price $19.97). , The special promotional ...
(Date:3/29/2017)... (PRWEB) , ... March 29, 2017 , ... ... three Hours at a Walgreens store in Mississippi. AngioGenesis Labs, makers of HeartBoost, ... Stores in two southeastern states. Ingredients in HeartBoost, an over the counter heart ...
(Date:3/29/2017)... ... March 29, 2017 , ... Based ... into the challenges employers face in trying to balance both short-term and long-term ... programs? Adding to the growing complexity, companies are finding that the short-term ...
Breaking Medicine News(10 mins):
(Date:3/29/2017)... -- Research and Markets has announced the addition ... report to their offering. ... The global orthopedic navigation system ... Increasing geriatric population prone to orthopedic diseases is a key ... the forecast period. Osteoarthritis and osteoporosis are most common disorders ...
(Date:3/29/2017)... Mar 29, 2017  Providence Medical Technology, Inc., ... addition of two industry veterans to the commercial ... the company to lead Global Marketing, and ... Mr. Lynch and Mr. Scott have over 40 ... Mr. Lynch joins the company with over 22 ...
(Date:3/29/2017)... 29, 2017  The leader in accelerated orthodontics, OrthoAccel ... Sam Daher , Manal Ibrahim , Kenji ... will be the featured microlecture presenters at the AcceleDent ... of Orthodontists (AAO) Annual Session, April 21-25, 2017. Orthodontists ... beginning daily at 11:20 a.m. On the opening morning ...
Breaking Medicine Technology: