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Characteristics of the Recurrently Hospitalized Adult

An Information Synthesis

Bibliographic Data

ID9104436
AuthorsNelda P Wray (United States Department of Veterans Affairs, corresponding author), Richard D DeBehnke (Austin Diagnostic Clinic), Carol M Ashton (United States Department of Veterans Affairs, corresponding author), J Kay Dunn (Baylor College of Medicine)
Year1988
Volume26
Issue11
Pages1046-1056
Publication date1988-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198811000-00003
PMID2972891
OpenAlexW2056702894
LanguageEN
Citations received5
References cited4

Hospital use in the US is concentrated in the approximately 2% of the population that is repeatedly hospitalized. Using the research integration technique of information synthesis, empirical studies of readmission were assembled and analyzed to determine the demographic and clinical characteristics of the repeatedly hospitalized adult. The authors' synthesis of articles that met preset criteria of relevance and validity indicated that clinical variables show a more consistent association with readmission than demographic variables. Diagnosis, prior use, and disability appear to be strong predictors of an individual's level of hospital use. Demographic variables with consistent positive associations with readmission include being widowed, living with relatives other than a spouse, decreasing income, living in the South, and living in an urban area, but available work does not indicate whether these demographic variables are independent predictors of readmission or merely markers of an increased prevalence of chronic disease. Findings indicate that future investigations of the predictors of this costly pattern of hospital use will be most illuminating if illness-related factors such as diagnosis, disease severity, functional status, and usage history are carefully specified and examined

Disease · Environmental health · Population · Spouse · Demography · Global Health Care Issues · Health disparities and outcomes · Healthcare Policy and Management · Internal Medicine · Medicine · Gerontology

  • Investigating Early Readmission as an Indicator for Quality of Care Studies

    J W Thomas, James J Holloway•Medical Care•1991

  • Discharge Destination and Repeat Hospitalizations

    Lois C Camberg Lois C Camberg, Lois Camberg et al.•Medical Care•1997

  • Impact of an All-Inclusive Diagnosis-Related Group Payment System on Inpatient Utilization

    Terri J Menke, Terri Menke et al.•Medical Care•1998

  • The Association Between the Quality of Inpatient Care and Early Readmission

    Carol M Ashton, Carol M Ashton Carol M Ashton et al.•Medical Care•1997

  • A conceptual framework for the study of early readmission as an indicator of quality of care

    Open Access•Carol M Ashton, Naomi R Wray et al.•Social Science & Medicine•1996

  • Societal and Individual Determinants of Medical Care Utilization in the United States

    Open Access•Ronald Andersen, John F Newman•Milbank Quarterly•2005

  • Access to Health Care in a Southern Rural Community

    Eva J Salber, Sandra B Greene et al.•Medical Care•1976

  • Psychological correlates of length of hospitalization and rehospitalization in patients with acute, severe asthma

    Open Access•Ad A Kaptein•Social Science & Medicine•1982

  • Assessing the Effects of Predisposing, Enabling, and Illness-Morbidity Characteristics on Health Service Utilization

    Frederic D Wolinsky•Journal of Health and Social…•1978

Unique citing works5
Citations per year0,14
Citation span1991 - 1998 (8)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4
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