Alicia I. Arbaje|Jennifer L. Wolff|Qilu Yu|Neil R. Powe|Gerard F. Anderson|Chad Boult
Postdischarge Environmental and Socioeconomic Factors and the Likelihood of Early Hospital Readmission Among Community-Dwelling Medicare Beneficiaries
Johns Hopkins Medicine|Johns Hopkins University
purpose study attempts determine associations postdischarge environmental pde socioeconomic ses factors early readmission hospitals design methods study cohort study using 2001 medicare current beneficiary survey medicare claims period 2001 2002 participants communitydwelling medicare beneficiaries admitted hospitals discharged home surviving least 1 year discharge n 1351 study measurements early readmission within 60 days pde factors ses factors pde factors consisted usual source care requiring assistance see usual source care marital status living alone lacking selfmanagement skills unmet functional need helpers activities daily living number living children number levels home ses factors consisted education income medicaid enrollment results 1351 beneficiaries 202 150 experienced early readmission adjustment demographics health functional status odds early readmission increased living alone odds ratio 150 95 confidence interval ci 101224 unmet functional need 148 95 ci 104210 lacking selfmanagement skills 144 95 ci 103202 limited education 142 95 ci 101202 implications findings suggest pde ses factors associated early readmission considering findings may enhance targeting predischarge postdischarge interventions avert early readmission interventions may include home health services patient activation comprehensive discharge planning