| Titre : | Higher Frequency of Acute Occupational Therapy Services Is Associated With Reduced Hospital Readmissions (2022) |
| Auteurs : | Jessica Edelstein ; Rebekah Walker ; Addie Middleton ; Timothy Reistetter ; Kelli Williams Gary ; Stacey Reynolds |
| Type de document : | Article |
| Dans : | American journal of occupational therapy (Vol. 76, n° 1, February 2022) |
| Article en page(s) : | p. 1-9 |
| Note générale : | https://doi.org/10.5014/ajot.2022.048678 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Adulte ; Appréciation des risques ; Ergothérapie ; Medicare ; Prestations des soins de santé ; Réadmission du patient ; Sujet âgé ; Sujet âgé de 80 ans ou plus ; Wisconsin |
| Résumé : | Importance: Hospital readmissions are associated with poor patient outcomes, including higher risk for mortality, nutritional concerns, deconditioning, and higher costs. Objective: To evaluate how acute occupational therapy service delivery factors affect readmission risk. Design: Cross-sectional, retrospective study. Setting: Single academic medical center. Participants: Medicare inpatients with a diagnosis included in the Hospital Readmissions Reduction Program (HRRP; N = 17,618). Data were collected from medical records at a large urban hospital in southeastern Wisconsin. Outcomes and Measures: Logistic regression models were estimated to examine the association between acute occupational therapy service delivery factors and odds of readmission. In addition, the types of acute occupational therapy services for readmitted versus not-readmitted patients were compared. Results: Patients had significantly higher odds of readmission if they received occupational therapy services while hospitalized (odds ratio [OR] = 1.18, 95% confidence interval [CI] [1.07, 1.31]). However, patshients who received acute occupational therapy services had significantly lower odds of readmission if they received a higher frequency (OR = 0.99, 95% CI [0.99,1.00]) of acute occupational therapy services. A significantly higher proportion of patients who were not readmitted, compared with patients who were readmitted, received activities of daily living (ADL) or self-care training (p <.01 conclusions and relevance: for patients with hrrp-qualifying diagnoses who received acute occupational therapy services higher frequency of was linked lower odds readmission. readmitted were less likely to have adl or self-care training while hospitalized. what this article adds: identifying factors that reduce the readmission medicare may help improve patient outcomes further define role in u.s. quality-focused health care system. medical record review found> |
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