Reducing 30-Day Readmissions Health Literacy Strategies

被引：28

作者：

Cloonan, Patricia ^{[1
]}

Wood, Jade ^{[2
]}

Riley, Joan B. ^{[3
,4
]}

机构：

[1] Georgetown Univ, Dept Hlth Syst Adm, Sch Nursing & Hlth Studies, Washington, DC 20057 USA

[2] Georgetown Univ, Sch Nursing & Hlth Studies, Washington, DC 20057 USA

[3] Georgetown Univ, Dept Human Sci, Sch Nursing & Hlth Studies, Washington, DC 20057 USA

[4] Georgetown Univ, Dept Nursing, Sch Nursing & Hlth Studies, Washington, DC 20057 USA

来源：

JOURNAL OF NURSING ADMINISTRATION | 2013年 / 43卷 / 7-8期

关键词：

PHYSICIAN COMMUNICATION; HOSPITAL DISCHARGE; CONTROLLED-TRIAL; HEART-FAILURE; INTERVENTION; PROGRAM; LENGTH; IMPACT; STAY; CARE;

D O I：

10.1097/NNA.0b013e31829d6082

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

The imperatives of the Affordable Care Act to reduce 30-day readmissions present challenges and opportunities for nurse administrators. The literature suggests success in reducing readmissions through enhancing patient-centered discharge processes, focusing on medication reconciliation, improving coordination with community-based providers, and effective patient self-management of their disease and treatment. Evidence-based interventions addressing low health literacy, when used with all patients, hold promise to promote understanding and self-management. Strategies addressing low health literacy aimed at reducing 30-day readmissions are identified and discussed.

引用

页码：382 / 387

页数：6

共 50 条

[1]

[Anonymous], 2010, National Hospital Discharge Survey

[2]

[Anonymous], 2008, REP C REF DEL SYST

[3] Association of ICU or Hospital Admission With Unintentional Discontinuation of Medications for Chronic Diseases [J].

Bell, Chaim M. ;

Brener, Stacey S. ;

Gunraj, Nadia ;

Huo, Cindy ;

Bierman, Arlene S. ;

Scales, Damon C. ;

Bajcar, Jana ;

Zwarenstein, Merrick ;

Urbach, David R. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2011, 306 (08) :840-847

[4] Low Health Literacy and Health Outcomes: An Updated Systematic Review [J].

Berkman, Nancy D. ;

Sheridan, Stacey L. ;

Donahue, Katrina E. ;

Halpern, David J. ;

Crotty, Karen .

ANNALS OF INTERNAL MEDICINE, 2011, 155 (02) :97-+

[5]

Bisognano Maureen, 2009, Front Health Serv Manage, V25, P3

[6] Average length of stay, delayed discharge, and hospital congestion - A combination of medical and managerial skills is needed to solve the problem [J].

Black, D ;

Pearson, M .

BRITISH MEDICAL JOURNAL, 2002, 325 (7365) :610-611

[7] Association between low functional health literacy and mortality in older adults: longitudinal cohort study [J].

Bostock, Sophie ;

Steptoe, Andrew .

BMJ-BRITISH MEDICAL JOURNAL, 2012, 344

[8] Telephone follow-up after discharge from the hospital: Does it make a difference? [J].

Bostrom, J ;

Caldwell, J ;

McGuire, K ;

Everson, D .

APPLIED NURSING RESEARCH, 1996, 9 (02) :47-52

[9]

Boutwell A.H., 2009, Effective interventions to reduce rehospitalization: A survey of the published evidence

[10]

Brach C., 2012, 10 ATTRIBUTES HLTH L, DOI 10.31478/201206a

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