Effects of a health-social partnership transitional program on hospital readmission: A randomized controlled trial

Kam Yuet Wong, May M. Ho, Sik Ying Yeung, Stanley K. Tam, Susan K. Chow

Research output: Journal article publicationJournal articleAcademic researchpeer-review

38 Citations (Scopus)

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 languageEnglish
Pages (from-to)960-969
Number of pages10
JournalSocial Science and Medicine
Volume73
Issue number7
DOIs
Publication statusPublished - 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

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