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

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  • Wong, Frances Kam-yuet
  • Ho, May M.
  • Yeung, SikYing
  • Tam, Stanley K.
  • Chow, Susan K.

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.

Suggested Citation

  • Wong, Frances Kam-yuet & Ho, May M. & Yeung, SikYing & Tam, Stanley K. & Chow, Susan K., 2011. "Effects of a health-social partnership transitional program on hospital readmission: A randomized controlled trial," Social Science & Medicine, Elsevier, vol. 73(7), pages 960-969.
    • Handle: RePEc:eee:socmed:v:73:y:2011:i:7:p:960-969
    DOI: 10.1016/j.socscimed.2011.06.036
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    References listed on IDEAS

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    1. Wong, Frances Kam Yuet & Chow, Susan & Chang, Katherine & Lee, Albert & Liu, Jiexin, 2004. "Effects of nurse follow-up on emergency room revisits: a randomized controlled trial," Social Science & Medicine, Elsevier, vol. 59(11), pages 2207-2218, December.
    2. Rummery, Kirstein & Coleman, Anna, 2003. "Primary health and social care services in the UK: progress towards partnership?," Social Science & Medicine, Elsevier, vol. 56(8), pages 1773-1782, April.
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    Cited by:

    1. Mascia, Daniele & Angeli, Federica & Di Vincenzo, Fausto, 2015. "Effect of hospital referral networks on patient readmissions," Social Science & Medicine, Elsevier, vol. 132(C), pages 113-121.
    2. Hsiao-Mei Chen & Yi-Hsuan Tu & Ching-Min Chen, 2017. "Effect of Continuity of Care on Quality of Life in Older Adults With Chronic Diseases: A Meta-Analysis," Clinical Nursing Research, , vol. 26(3), pages 266-284, June.
    3. Claudia Fischer & Hester F Lingsma & Perla J Marang-van de Mheen & Dionne S Kringos & Niek S Klazinga & Ewout W Steyerberg, 2014. "Is the Readmission Rate a Valid Quality Indicator? A Review of the Evidence," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-9, November.
    4. Chuan De Foo & Yan Lin Tan & Pami Shrestha & Ke Xin Eh & Ian Yi Han Ang & Milawaty Nurjono & Sue-Anne Toh & Farah Shiraz, 2020. "Exploring the dimensions of patient experience for community-based care programmes in a multi-ethnic Asian context," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-18, November.

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