Hospital Readmission of Patients with Diabetes

Hospital Readmission of Patients with Diabetes Hospital readmission is a high-priority health care quality measure and target for cost reduction. Despite broad interest in readmission, relatively little research has focused on patients with diabetes. The burden of diabetes among hospitalized patients, however, is substantial, growing, and costly, and readmissions contribute a significant portion of this burden. Reducing readmission rates of diabetic patients has the potential to greatly reduce health care costs while simultaneously improving care. Risk factors for readmission in this population include lower socioeconomic status, racial/ethnic minority, comorbidity burden, public insurance, emergent or urgent admission, and a history of recent prior hospitalization. Hospitalized patients with diabetes may be at higher risk of readmission than those without diabetes. Potential ways to reduce readmission risk are inpatient education, specialty care, better discharge instructions, coordination of care, and post-discharge support. More studies are needed to test the effect of these interventions on the readmission rates of patients with diabetes. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Diabetes Reports Springer Journals

Hospital Readmission of Patients with Diabetes

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Publisher
Springer US
Copyright
Copyright © 2015 by Springer Science+Business Media New York
Subject
Medicine & Public Health; Diabetes
ISSN
1534-4827
eISSN
1539-0829
D.O.I.
10.1007/s11892-015-0584-7
Publisher site
See Article on Publisher Site

Abstract

Hospital readmission is a high-priority health care quality measure and target for cost reduction. Despite broad interest in readmission, relatively little research has focused on patients with diabetes. The burden of diabetes among hospitalized patients, however, is substantial, growing, and costly, and readmissions contribute a significant portion of this burden. Reducing readmission rates of diabetic patients has the potential to greatly reduce health care costs while simultaneously improving care. Risk factors for readmission in this population include lower socioeconomic status, racial/ethnic minority, comorbidity burden, public insurance, emergent or urgent admission, and a history of recent prior hospitalization. Hospitalized patients with diabetes may be at higher risk of readmission than those without diabetes. Potential ways to reduce readmission risk are inpatient education, specialty care, better discharge instructions, coordination of care, and post-discharge support. More studies are needed to test the effect of these interventions on the readmission rates of patients with diabetes.

Journal

Current Diabetes ReportsSpringer Journals

Published: Feb 25, 2015

References

  • Lower rehospitalization rates among rural Medicare beneficiaries with diabetes
    Bennett, KJ; Probst, JC; Vyavaharkar, M; Glover, SH
  • Racial/ethnic disparities in potentially preventable readmissions: the case of diabetes
    Jiang, HJ; Andrews, R; Stryer, D; Friedman, B
  • Intensification of diabetes medication and risk for 30-day readmission
    Wei, NJ; Wexler, DJ; Nathan, DM; Grant, RW
  • Early readmission among patients with diabetes: a qualitative assessment of contributing factors
    Rubin, D; Donnell-Jackson, K; Jhingan, R; Golden, SH; Paranjape, A
  • Assessing multiple hospitalizations for health-plan-managed Medicaid diabetic members
    Cramer, S; Chapa, G; Kotsos, T; Jenich, H
  • Incidence and predictors of 30-day readmission among patients hospitalized for advanced liver disease
    Berman, K; Tandra, S; Forssell, K; Vuppalanchi, R; Burton, JR; Nguyen, J
  • Predicting 30-day all-cause hospital readmissions
    Shulan, M; Gao, K; Moore, CD
  • Reduction of 30-day postdischarge hospital readmission or emergency department (ED) visit rates in high-risk elderly medical patients through delivery of a targeted care bundle
    Koehler, BE; Richter, KM; Youngblood, L; Cohen, BA; Prengler, ID; Cheng, D
  • Evaluation of a hospital diabetes specialist nursing service: a randomized controlled trial
    Davies, M; Dixon, S; Currie, CJ; Davis, RE; Peters, JR

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