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Health Works Collective > Specialties > Geriatrics > 11 Social Factors That Contribute to Higher Readmissions
GeriatricsPolicy & LawPublic Health

11 Social Factors That Contribute to Higher Readmissions

eCaring
Last updated: October 22, 2013 8:11 am
eCaring
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higher hospital readmissionsAre readmissions in or out of a hospital’s control? Who should be held accountable for the reasons why an elderly patient returns to the hospital?

higher hospital readmissionsAre readmissions in or out of a hospital’s control? Who should be held accountable for the reasons why an elderly patient returns to the hospital?

New research now shows that non-medical factors may have a significant impact on re-hospitalization rates among seniors. Social factors, including a patient’s living situation and socioeconomic status, are now thought to influence readmission rates but are not yet taken into account by CMS when calculating penalties.

These studies found that a person’s age, race, employment status, living situation, education and income levels affected their chances of returning to the hospital again, particularly among patients with pneumonia and heart failure.

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For pneumonia and heart failure patients, social factors linked to readmission include:

  • Being a male
  • Being of older age or elderly
  • Coming from African American or Hispanic background
  • Having a lower level of education
  • Earning no or low Income
  • Unemployment
  • Status of Uunmarried
  • Living alone and having a lack of social support
  • Living in a rural area or living far away from a hospital
  • Medicaid insurance coverage
  • Engaging in risky behaviors: smoking, drug use

In light of these details linking non-medical factors to high readmissions, how do you think doctors, case managers, and discharge planners can use this information to improve follow-up strategies for high-risk patients?

 

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