Abstract
Hospital readmission is an indicator of care quality. Studies have been conducted to test whether post-discharge transitional care programs can reduce hospital readmission, but results are not conclusive. The contemporary development of post-discharge support advocates a health and social partnership approach. There is a paucity of experimental studies examining the effects of such efforts. This study designed a health-social transitional care management program (HSTCMP) and subjected it to empirical testing using a randomized controlled trial in the medical units of an acute general hospital with 1700 beds in Hong Kong during the period of February 2009 to July 2010. Results using per-protocol analysis revealed that the HSTCMP significantly reduced readmission at 4-weeks (study 4.0%, control 10.2%, χ2= 7.98, p = 0.005). The intention-to-treat result also showed a lower readmission rate with the study group but the result was not significant (study 11.5%, control 14.7%, χ2= 1.53, p = 0.258). There was however significant improvement in quality of life, self-efficacy and satisfaction in the study group in both per-protocol and intention-to-treat analyses. The study suggests that a health-social partnership, using volunteers as substitutes for some of the professional care, may be effective for general medical patients.
Original language | English |
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Pages (from-to) | 960-969 |
Number of pages | 10 |
Journal | Social Science and Medicine |
Volume | 73 |
Issue number | 7 |
DOIs | |
Publication status | Published - 1 Oct 2011 |
Keywords
- China
- Health-social partnership
- Hong Kong
- Hospital readmission
- Nurse case management
- Quality of life
- Self efficacy
- Transitional care
ASJC Scopus subject areas
- Health(social science)
- History and Philosophy of Science