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

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

Social Science & Medicine, 2011, vol. 73, issue 7, 960-969

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.

Keywords: Health-social partnership; Hospital readmission; Transitional care; Quality of life; Self efficacy; Nurse case management; China; Hong Kong (search for similar items in EconPapers)
Date: 2011
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Citations: View citations in EconPapers (4)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:73:y:2011:i:7:p:960-969

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DOI: 10.1016/j.socscimed.2011.06.036

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