Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge
Abstract Background Hospital readmissions are increasingly used as an indicator of quality in health care. One potential risk factor of readmissions is polypharmacy. No studies have explored the patients’ perspectives on the medication relatedness and potential preventability of their readmissions....
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2020-02-01
|
Series: | Health Expectations |
Subjects: | |
Online Access: | https://doi.org/10.1111/hex.12993 |
id |
doaj-bc8d0c9a24cf476fb1f4db068d483c3a |
---|---|
record_format |
Article |
spelling |
doaj-bc8d0c9a24cf476fb1f4db068d483c3a2020-11-24T22:07:34ZengWileyHealth Expectations1369-65131369-76252020-02-0123121221910.1111/hex.12993Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of dischargeElien B. Uitvlugt0Marjo J. A. Janssen1Carl E. H. Siegert2Anna J. A. Leenders3Bart J. F. van denBemt4Patricia M. L. A. van denBemt5Fatma Karapinar‐Çarkit6Department of Hospital Pharmacy OLVG Amsterdam The NetherlandsDepartment of Hospital Pharmacy OLVG Amsterdam The NetherlandsDepartment of Internal Medicine OLVG Amsterdam The NetherlandsDepartment of Hospital Pharmacy OLVG Amsterdam The NetherlandsDepartment of Pharmacy Sint Maartenskliniek Nijmegen The NetherlandsDepartment of Hospital Pharmacy Erasmus MC University Medical Center Rotterdam Rotterdam The NetherlandsDepartment of Hospital Pharmacy OLVG Amsterdam The NetherlandsAbstract Background Hospital readmissions are increasingly used as an indicator of quality in health care. One potential risk factor of readmissions is polypharmacy. No studies have explored the patients’ perspectives on the medication relatedness and potential preventability of their readmissions. Objective To compare the patients’ perspectives on the medication relatedness and potential preventability of their readmissions with the providers’ perspectives. Methods Patients unplanned readmitted within 30 days after discharge at one of the participating departments of OLVG Hospital in Amsterdam were interviewed during their readmission. Patients’ perspectives regarding medication relatedness of their readmissions, the potential preventability, possible preventable interventions, and satisfaction with medication information were examined. Health‐care providers also reviewed files of these readmitted patients. Primary outcome was the percentage of medication‐related and potentially preventable readmissions according to the patient vs the provider. Descriptive data analysis was used. Results According to patients, 36 of 172 (21%) readmissions were medication‐related, and of these, 21 (58%) were potentially preventable. According to providers, 26 (15%) readmissions were medication‐related and 6 (23%) of these were potentially preventable. Patients and providers agreed on the medication relatedness in 11 of the 172 readmissions, and in two of these, agreement on the potential preventability existed. According to patients, preventive interventions belonged mostly to the hospital level, followed by the primary care level and patient level. Conclusion Patients and providers differ substantially on their perspectives regarding the medication relatedness and preventability of readmissions. Patients were more likely to view medication‐related readmissions as preventable.https://doi.org/10.1111/hex.12993hospital readmissionsmedicationpatients’ perspectivespreventabilityproviders’ perspective |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Elien B. Uitvlugt Marjo J. A. Janssen Carl E. H. Siegert Anna J. A. Leenders Bart J. F. van denBemt Patricia M. L. A. van denBemt Fatma Karapinar‐Çarkit |
spellingShingle |
Elien B. Uitvlugt Marjo J. A. Janssen Carl E. H. Siegert Anna J. A. Leenders Bart J. F. van denBemt Patricia M. L. A. van denBemt Fatma Karapinar‐Çarkit Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge Health Expectations hospital readmissions medication patients’ perspectives preventability providers’ perspective |
author_facet |
Elien B. Uitvlugt Marjo J. A. Janssen Carl E. H. Siegert Anna J. A. Leenders Bart J. F. van denBemt Patricia M. L. A. van denBemt Fatma Karapinar‐Çarkit |
author_sort |
Elien B. Uitvlugt |
title |
Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge |
title_short |
Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge |
title_full |
Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge |
title_fullStr |
Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge |
title_full_unstemmed |
Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge |
title_sort |
patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge |
publisher |
Wiley |
series |
Health Expectations |
issn |
1369-6513 1369-7625 |
publishDate |
2020-02-01 |
description |
Abstract Background Hospital readmissions are increasingly used as an indicator of quality in health care. One potential risk factor of readmissions is polypharmacy. No studies have explored the patients’ perspectives on the medication relatedness and potential preventability of their readmissions. Objective To compare the patients’ perspectives on the medication relatedness and potential preventability of their readmissions with the providers’ perspectives. Methods Patients unplanned readmitted within 30 days after discharge at one of the participating departments of OLVG Hospital in Amsterdam were interviewed during their readmission. Patients’ perspectives regarding medication relatedness of their readmissions, the potential preventability, possible preventable interventions, and satisfaction with medication information were examined. Health‐care providers also reviewed files of these readmitted patients. Primary outcome was the percentage of medication‐related and potentially preventable readmissions according to the patient vs the provider. Descriptive data analysis was used. Results According to patients, 36 of 172 (21%) readmissions were medication‐related, and of these, 21 (58%) were potentially preventable. According to providers, 26 (15%) readmissions were medication‐related and 6 (23%) of these were potentially preventable. Patients and providers agreed on the medication relatedness in 11 of the 172 readmissions, and in two of these, agreement on the potential preventability existed. According to patients, preventive interventions belonged mostly to the hospital level, followed by the primary care level and patient level. Conclusion Patients and providers differ substantially on their perspectives regarding the medication relatedness and preventability of readmissions. Patients were more likely to view medication‐related readmissions as preventable. |
topic |
hospital readmissions medication patients’ perspectives preventability providers’ perspective |
url |
https://doi.org/10.1111/hex.12993 |
work_keys_str_mv |
AT elienbuitvlugt patientsandprovidersperspectivesonmedicationrelatednessandpotentialpreventabilityofhospitalreadmissionswithin30daysofdischarge AT marjojajanssen patientsandprovidersperspectivesonmedicationrelatednessandpotentialpreventabilityofhospitalreadmissionswithin30daysofdischarge AT carlehsiegert patientsandprovidersperspectivesonmedicationrelatednessandpotentialpreventabilityofhospitalreadmissionswithin30daysofdischarge AT annajaleenders patientsandprovidersperspectivesonmedicationrelatednessandpotentialpreventabilityofhospitalreadmissionswithin30daysofdischarge AT bartjfvandenbemt patientsandprovidersperspectivesonmedicationrelatednessandpotentialpreventabilityofhospitalreadmissionswithin30daysofdischarge AT patriciamlavandenbemt patientsandprovidersperspectivesonmedicationrelatednessandpotentialpreventabilityofhospitalreadmissionswithin30daysofdischarge AT fatmakarapinarcarkit patientsandprovidersperspectivesonmedicationrelatednessandpotentialpreventabilityofhospitalreadmissionswithin30daysofdischarge |
_version_ |
1725819760091856896 |