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Continuity of Care Versus Language Concordance as an Intervention to Reduce Hospital Readmissions From Home Health Care.
Squires, Allison; Engel, Patrick; Ma, Chenjuan; Miner, Sarah M; Feldman, Penny H; McDonald, Margaret V; Jones, Simon A.
Afiliación
  • Squires A; Rory Meyers College of Nursing.
  • Engel P; Stern School of Business.
  • Ma C; Rory Meyers College of Nursing.
  • Miner SM; Wegman's School of Nursing, New York University.
  • Feldman PH; Center for Home Care Policy & Research, VNS Health.
  • McDonald MV; Center for Home Care Policy & Research, VNS Health.
  • Jones SA; Department of Population Health, Center for Delivery Systems Science, Grossman School of Medicine, New York University, New York, NY.
Med Care ; 61(9): 605-610, 2023 09 01.
Article en En | MEDLINE | ID: mdl-37561604
BACKGROUND: Language concordance between health care practitioners and patients have recently been shown to lower the risk of adverse health events. Continuity of care also been shown to have the same impact. OBJECTIVE: The purpose of this paper is to examine the relative effectiveness of both continuity of care and language concordance as alternative or complementary interventions to improve health outcomes of people with limited English proficiency. DESIGN: A multivariable logistic regression model using rehospitalization as the dependent variable was built. The variable of interest was created to compare language concordance and continuity of care. PARTICIPANTS: The final sample included 22,103 patients from the New York City area between 2010 and 2015 who were non-English-speaking and admitted to their home health site following hospital discharge. MEASURES: The odds ratio (OR) average marginal effect (AME) of each included variable was calculated for model analysis. RESULTS: When compared with low continuity of care and high language concordance, high continuity of care and high language concordance significantly decreased readmissions (OR=0.71, 95% CI: 0.62-0.80, P<0.001, AME=-4.95%), along with high continuity of care and low language concordance (OR=0.80, 95% CI: 0.74-0.86, P<0.001, AME=-3.26%). Low continuity of care and high language concordance did not significantly impact readmissions (OR=1.04, 95% CI: 0.86-1.26, P=0.672, AME=0.64%). CONCLUSION: In the US home health system, enhancing continuity of care for those with language barriers may be helpful to address disparities and reduce hospital readmission rates.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Servicios de Atención de Salud a Domicilio Tipo de estudio: Prognostic_studies Aspecto: Equity_inequality Límite: Humans Idioma: En Revista: Med Care Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Readmisión del Paciente / Servicios de Atención de Salud a Domicilio Tipo de estudio: Prognostic_studies Aspecto: Equity_inequality Límite: Humans Idioma: En Revista: Med Care Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos