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Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan
INTRODUCTION: Hospital readmissions impose not only an extra burden on health care systems but impact patient health outcomes. Identifying modifiable behavioural risk factors that are possible causes of potentially avoidable readmissions can lower readmission rates and healthcare costs. METHODS: Usi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Ubiquity Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388041/ https://www.ncbi.nlm.nih.gov/pubmed/28413365 http://dx.doi.org/10.5334/ijic.2436 |
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author | Alyahya, Mohammad S. Hijazi, Heba H. Alshraideh, Hussam A. Alsharman, Mohammad Aser Al Abdi, Rabah Harvey, Heather Lea |
author_facet | Alyahya, Mohammad S. Hijazi, Heba H. Alshraideh, Hussam A. Alsharman, Mohammad Aser Al Abdi, Rabah Harvey, Heather Lea |
author_sort | Alyahya, Mohammad S. |
collection | PubMed |
description | INTRODUCTION: Hospital readmissions impose not only an extra burden on health care systems but impact patient health outcomes. Identifying modifiable behavioural risk factors that are possible causes of potentially avoidable readmissions can lower readmission rates and healthcare costs. METHODS: Using the core principles of evidence based medicine and public health, the purpose of this study was to develop a heuristic guide that could identify what behavioural risk factors influence hospital readmissions through adopting various methods of analysis including regression models, t-tests, data mining, and logistic regression. This study was a retrospective cohort review of internal medicine patients admitted between December 1, 2012 and December 31, 2013 at King Abdullah University Hospital, in Jordan. RESULTS: 29% of all hospitalized patients were readmitted during the study period. Among all readmissions, 44% were identified as potentially avoidable. Behavioural factors including smoking, unclear follow-up and discharge planning, and being non-compliant with treatment regimen as well as discharge against medical advice were all associated with increased risk of avoidable readmissions. CONCLUSION: Implementing evidence based health programs that focus on modifiable behavioural risk factors for both patients and clinicians would yield a higher response in terms of reducing potentially avoidable readmissions, and could reduce direct medical costs. |
format | Online Article Text |
id | pubmed-5388041 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Ubiquity Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-53880412017-04-14 Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan Alyahya, Mohammad S. Hijazi, Heba H. Alshraideh, Hussam A. Alsharman, Mohammad Aser Al Abdi, Rabah Harvey, Heather Lea Int J Integr Care Research and Theory INTRODUCTION: Hospital readmissions impose not only an extra burden on health care systems but impact patient health outcomes. Identifying modifiable behavioural risk factors that are possible causes of potentially avoidable readmissions can lower readmission rates and healthcare costs. METHODS: Using the core principles of evidence based medicine and public health, the purpose of this study was to develop a heuristic guide that could identify what behavioural risk factors influence hospital readmissions through adopting various methods of analysis including regression models, t-tests, data mining, and logistic regression. This study was a retrospective cohort review of internal medicine patients admitted between December 1, 2012 and December 31, 2013 at King Abdullah University Hospital, in Jordan. RESULTS: 29% of all hospitalized patients were readmitted during the study period. Among all readmissions, 44% were identified as potentially avoidable. Behavioural factors including smoking, unclear follow-up and discharge planning, and being non-compliant with treatment regimen as well as discharge against medical advice were all associated with increased risk of avoidable readmissions. CONCLUSION: Implementing evidence based health programs that focus on modifiable behavioural risk factors for both patients and clinicians would yield a higher response in terms of reducing potentially avoidable readmissions, and could reduce direct medical costs. Ubiquity Press 2016-08-31 /pmc/articles/PMC5388041/ /pubmed/28413365 http://dx.doi.org/10.5334/ijic.2436 Text en Copyright: © 2016 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Research and Theory Alyahya, Mohammad S. Hijazi, Heba H. Alshraideh, Hussam A. Alsharman, Mohammad Aser Al Abdi, Rabah Harvey, Heather Lea Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan |
title | Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan |
title_full | Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan |
title_fullStr | Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan |
title_full_unstemmed | Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan |
title_short | Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan |
title_sort | integrating the principles of evidence based medicine and evidence based public health: impact on the quality of patient care and hospital readmission rates in jordan |
topic | Research and Theory |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388041/ https://www.ncbi.nlm.nih.gov/pubmed/28413365 http://dx.doi.org/10.5334/ijic.2436 |
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