Post Discharge mHealth and Teach-Back Communication Effectiveness on Hospital Readmissions: A Systematic Review

Syed Fawad Mashhadi, Aliya Hisam, Siham Sikander, Mommana Ali Rathore, Faisal Rifaq, Shahzad Ali Khan and Assad Hafeez
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Syed Fawad Mashhadi: Department of Community Medicine, Army Medical College, National University of Medical Sciences, Rawalpindi 46000, Pakistan
Aliya Hisam: Department of Community Medicine, Army Medical College, National University of Medical Sciences, Rawalpindi 46000, Pakistan
Siham Sikander: Global Health Department, Health Services Academy, Opposite National Institute of Health, Islamabad 44000, Pakistan
Mommana Ali Rathore: Department of Community Medicine, Army Medical College, National University of Medical Sciences, Rawalpindi 46000, Pakistan
Faisal Rifaq: Sehat Sahulat Program, Ministry of National Health Services, Regulations and Coordination, Government of Pakistan, Hall 3A, 3rd Floor, Kohsar Block, Pak Secretariat, Islamabad 44000, Pakistan
Shahzad Ali Khan: Health Services Academy, Opposite National Institute of Health, Islamabad 44000, Pakistan
Assad Hafeez: Health Services Academy, Opposite National Institute of Health, Islamabad 44000, Pakistan

IJERPH, 2021, vol. 18, issue 19, 1-19

Abstract: Hospital readmissions pose a threat to the constrained health resources, especially in resource-poor low-and middle-income countries. In such scenarios, appropriate technologies to reduce avoidable readmissions in hospitals require innovative interventions. mHealth and teach-back communication are robust interventions, utilized for the reduction in preventable hospital readmissions. This review was conducted to highlight the effectiveness of mHealth and teach-back communication in hospital readmission reduction with a view to provide the best available evidence on such interventions. Two authors independently searched for appropriate MeSH terms in three databases (PubMed, Wiley, and Google Scholar). After screening the titles and abstracts, shortlisted manuscripts were subjected to quality assessment and analysis. Two authors checked the manuscripts for quality assessment and assigned scores utilizing the QualSyst tool. The average of the scores assigned by the reviewers was calculated to assign a summary quality score (SQS) to each study. Higher scores showed methodological vigor and robustness. Search strategies retrieved a total of 1932 articles after the removal of duplicates. After screening titles and abstracts, 54 articles were shortlisted. The complete reading resulted in the selection of 17 papers published between 2002 and 2019. Most of the studies were interventional and all the studies focused on hospital readmission reduction as the primary or secondary outcome. mHealth and teach-back communication were the two most common interventions that catered for the hospital readmissions. Among mHealth studies (11 out of 17), seven studies showed a significant reduction in hospital readmissions while four did not exhibit any significant reduction. Among the teach-back communication group (6 out of 17), the majority of the studies (5 out of 6) showed a significant reduction in hospital readmissions while one publication did not elicit a significant hospital readmission reduction. mHealth and teach-back communication methods showed positive effects on hospital readmission reduction. These interventions can be utilized in resource-constrained settings, especially low- and middle-income countries, to reduce preventable readmissions.

Keywords: discharge; drug adherence; hospital readmissions; mobile health; teach-back communication; medication adherence (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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