Thirty-Day Readmissions — Truth and Consequences
New England Journal of MedicinePublished 28 March 2012
Karen E. Joynt, Ashish K. Jha
Citations479
SJR quartileQ1
SJR score19.08
SNIP13.47
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Under the Affordable Care Act, hospitals with “worse than expected” 30-day readmission rates will be penalized by Medicare, but though a focus on readmissions may have good face validity, the policy attention to 30- day readmission may be misguided.
Abstract
Under the Affordable Care Act, hospitals with “worse than expected” 30-day readmission rates will be penalized by Medicare. But though a focus on readmissions may have good face validity, the policy attention to 30-day readmissions may be misguided.
Keywords
Medicine
New England Journal of MedicineDoes Increased Access to Primary Care Reduce Hospital Readmissions?
806 Citations1996Morris Weinberger, Eugene Ž. Oddone +1 more
For veterans discharged from Veterans Affairs hospitals, the primary care intervention studied increased rather than decreased the rate of rehospitalization, although patients in the intervention group were more satisfied with their care.
JAMAThirty-Day Readmission Rates for Medicare Beneficiaries by Race and Site of Care
730 Citations2011Karen E. Joynt
Among elderly Medicare recipients, black patients were more likely to be readmitted after hospitalization for 3 common conditions, a gap that was related to both race and to the site where care was received.
Canadian Medical Association JournalProportion of hospital readmissions deemed avoidable: a systematic review
687 Citations2011Carl van Walraven, Carol Bennett +3 more
Three study-level factors (teaching status of hospital, whether all diagnoses or only some were considered, and length of follow-up) were significantly associated with the proportion of admissions deemed to be avoidable and explained some, but not all, of the heterogeneity between the studies.
New England Journal of MedicineAre All Readmissions Bad Readmissions?
203 Citations2010Eiran Z. Gorodeski, Randall C. Starling +1 more
It was found that a higher occurrence of readmissions was associated with lower 30-day mortality, and a higher occurring within 30 days after hospitalization for heart failure was linked with lower mortality.
Canadian Medical Association JournalIncidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions
162 Citations2011Carl van Walraven, Alison Jennings +6 more
Urgent readmissions deemed potentially avoidable were relatively uncommon, comprising less than 20% of all urgent readmissions following hospital discharge and compared rates of all-cause and avoidable readmissions.