Abstract：
BACKGROUND:There has been a relentless increase in emergency medical admissions in the UK over recent years. Many of these patients suffer with chronic conditions requiring continuing medical attention. We wished to determine whether conventional outpatient clinic follow up after discharge has any impact on the rate of readmission to hospital. METHODS:Two consultant general physicians with the same patient case-mix but markedly different outpatient follow-up practice were chosen. Of 1203 patients discharged, one consultant saw twice as many patients in the follow-up clinic than the other (Dr A 9.8% v Dr B 19.6%). The readmission rate in the twelve months following discharge was compared in a retrospective analysis of hospital activity data. Due to the specialisation of the admitting system, patients mainly had cardiovascular or cerebrovascular disease or had taken an overdose. Few had respiratory or infectious diseases. Outpatient follow-up was focussed on patients with cardiac disease. RESULTS:Risk of readmission increased significantly with age and length of stay of the original episode and was less for digestive system and musculo-skeletal disorders. 28.7% of patients discharged by Dr A and 31.5 % of those discharged by Dr B were readmitted at least once. Relative readmission risk was not significantly different between the consultants and there was no difference in the length of stay of readmissions. CONCLUSIONS:Increasing the proportion of patients with this age- and case-mix who are followed up in a hospital general medical outpatient clinic is unlikely to reduce the demand for acute hospital beds.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Rayner HC,Temple RM,Marshall T,Clarke Ddoi
10.1186/1472-6963-2-12keywords:
subject
Has Abstractpub_date
2002-06-25 00:00:00pages
12issue
1issn
1472-6963journal_volume
2pub_type
杂志文章abstract：BACKGROUND:Care coordination has increasingly been recognized as an important aspect of high-quality health care delivery. Robust measures of coordination processes will be essential tools to evaluate, guide and support efforts to understand and improve coordination, yet little agreement exists among stakeholders about...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/1472-6963-13-119
更新日期：2013-03-28 00:00:00
abstract：BACKGROUND:The notion 'hard to reach' is a contested and ambiguous term that is commonly used within the spheres of social care and health, especially in discourse around health and social inequalities. There is a need to address health inequalities and to engage in services the marginalized and socially excluded secto...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-92
更新日期：2010-04-08 00:00:00
abstract：BACKGROUND:Clinical quality indicators are used to monitor the performance of healthcare services and should wherever possible be based on research evidence. Little is known however about the extent to which indicators in common use are based on research. The objective of this study is to measure the extent to which cl...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2324-y
更新日期：2017-07-21 00:00:00
abstract：BACKGROUND:Psychosocial job characteristics require nursing staff with high self-consistency and good mental health. However, the attention and effort of such study remained very limited in China. METHODS:A self-administered questionnaire was distributed to the bedside nurses in an affiliated hospital of Hebei Medical...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1463-x
更新日期：2016-06-28 00:00:00
abstract：BACKGROUND:Patient safety has been a priority in primary healthcare in the last years. The prevailing culture is seen as an important condition for patient safety in practice and several tools to measure patient safety culture have therefore been developed. Although Dutch primary care consists of different professions,...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-354
更新日期：2013-09-17 00:00:00
abstract：BACKGROUND:Empirical evidence on how ownership type affects the quality and cost of medical care is growing, and debate on these topics is ongoing. Despite the fact that the private sector is a major provider of hospital services in Greece, little comparative information on private versus public sector hospitals is ava...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-234
更新日期：2011-09-23 00:00:00
abstract：BACKGROUND:There has been a substantial increase in research on mental illness related stigma over the past 10 years, with many measures in use. This study aims to review current practice in the survey measurement of mental illness stigma, prejudice and discrimination experienced by people who have personal experience ...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/1472-6963-10-80
更新日期：2010-03-25 00:00:00
abstract：BACKGROUND:Cancer survivors are a rapidly growing and aging population in the U.S., but there are many challenges associated with the survivorship experience such as functional disabilities and psychosocial distress. When viewed next to the general population, Veterans are especially at risk for these challenges as the...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-93
更新日期：2013-03-11 00:00:00
abstract：BACKGROUND:Despite widespread documentation of racial/ethnic disparities in care (predominantly under-use of needed care), differences in population-wide attitudes or experiences about under- or overuse (care where harms may outweigh potential benefits) of care are not well understood. We examined whether race/ethnicit...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-1106-7
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Due to stagnating resources and an increase in staff workload, the quality of Finnish primary health care (PHC) is claimed to have deteriorated slowly. With a decentralised PHC organisation and lack of national stewardship, it is likely that municipalities have adopted different coping strategies, predisposi...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4449-7
更新日期：2019-09-04 00:00:00
abstract：BACKGROUND:Substantial government funding has been invested to support the training of General Practitioners (GPs) in Australia to serve rural communities. However, there is little data on the impact of this expanded training on smaller communities, particularly for smaller rural and more remote communities. Improved u...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05684-7
更新日期：2020-08-31 00:00:00
abstract：BACKGROUND:There are few studies comparing pharmaceutical costs and the use of medications between immigrants and the autochthonous population in Spain. The objective of this study is to evaluate whether there are differences in pharmaceutical consumption and expenses between immigrant and Spanish-born populations. ME...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-8-35
更新日期：2008-02-06 00:00:00
abstract：OBJECTIVE:While most studies focused on the relation between volunteering and health-related outcomes, little attention has been given on the association between volunteering and the use of health care services. Thus, with this analysis we aimed at exploring whether and how the voluntary work of older adults is related...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-3867-x
更新日期：2019-01-15 00:00:00
abstract：BACKGROUND:Advance care planning (ACP) is the process of ongoing communication among patients, family and health care professionals regarding what plans for future care are preferred in the event that patients become unable to make their own decisions. Clinicians play an important role in ACP as both initiators and dec...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4192-0
更新日期：2019-06-07 00:00:00
abstract：BACKGROUND:There has been a recent growth in health provider search portals, where patients specify filters-such as specialty or insurance-and providers are ranked by patient ratings or other attributes. Previous work has identified attributes associated with a provider's quality through user surveys. Other work suppor...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1338-1
更新日期：2016-03-14 00:00:00
abstract：BACKGROUND:Australians born in countries where hepatitis B infection is endemic are 6-12 times more likely to develop hepatocellular cancer (HCC) than Australian-born individuals. However, a program of screening, surveillance and treatment of chronic hepatitis B (CHB) in high risk populations could significantly reduce...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-215
更新日期：2010-07-21 00:00:00
abstract：BACKGROUND:The introduction of non-VKA oral anticoagulants (NOACs) has changed the landscape of preventing thromboembolism events in many countries. However, the prescription trends of oral anticoagulant (OAC) in China are still unclear, which were evaluated in this study through data extracted and summarized from 5 ma...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-5072-3
更新日期：2020-03-12 00:00:00
abstract：BACKGROUND:People who use substances experience high levels of substance-related stigma, both within and outside of health care settings, which can prevent people from help-seeking and contribute further to health inequities. Recognizing and respecting how political, social, economic, and historical conditions influenc...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05915-x
更新日期：2020-11-23 00:00:00
abstract：BACKGROUND:Combined lifestyle interventions (CLIs) are designed to help people who are overweight or obese maintain a healthy new lifestyle. The CooL intervention is a CLI in the Netherlands, in which lifestyle coaches counsel adults and children (and/or their parents) who are obese or at high risk of obesity to achiev...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4457-7
更新日期：2019-09-14 00:00:00
abstract：BACKGROUND:When it was initiated in 2001, England's national patient survey programme was one of the first in the world and has now been widely emulated in other healthcare systems. The aim of the survey programme was to make the National Health Service (NHS) more "patient centred" and more responsive to patient feedba...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-71
更新日期：2012-03-21 00:00:00
abstract：BACKGROUND:Team-based approaches to research capacity building (RCB) may be an efficient means to promote allied health research participation and activity. In order to tailor such interventions, a clearer understanding of current patterns of research participation within allied health teams is needed. Different self-r...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-1996-7
更新日期：2017-02-06 00:00:00
abstract：BACKGROUND:Like much of the developed world, healthcare costs in Canada are rising. A small proportion of patients account for a large proportion of healthcare spending and much of this spending occurs in acute care settings. The purpose of our study was to determine potentially modifiable factors related to care proce...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2746-6
更新日期：2017-11-25 00:00:00
abstract：BACKGROUND:Medical devices and in vitro diagnostic tests (IVD) are vital components of health delivery systems but access to these important tools is often limited in Africa. The regulation of health commodities by National Regulatory Authorities is intended to ensure their safety and quality whilst ensuring timely acc...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-014-0524-2
更新日期：2014-10-31 00:00:00
abstract：BACKGROUND:Potentially inappropriate prescribing (PIP) in older people is common in primary care and can result in increased morbidity, adverse drug events, hospitalizations and mortality. The prevalence of PIP in Ireland is estimated at 36% with an associated expenditure of over €45 million in 2007. The aim of this pa...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/1472-6963-13-307
更新日期：2013-08-14 00:00:00
abstract：BACKGROUND:Prompt Mental Health Care (PMHC) is the Norwegian adaptation of Improving Access to Psychological Therapies (IAPT). Thus far, evaluations of PMHC have mostly focused on the effectiveness, rather than on contextual and implementation processes. Therefore, the objective of this study was to do a process evalua...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05311-5
更新日期：2020-05-19 00:00:00
abstract：BACKGROUND:Long waiting times result in low satisfaction. Although several methods are used to shorten the actual waiting time (AWT) in large hospitals of China, the outpatients still have a long actual waiting time. This study aimed to explore whether satisfaction could be improved by extending the expected waiting ti...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4408-3
更新日期：2019-08-13 00:00:00
abstract：BACKGROUND:A major part of midwifery care involves the empowerment of women and their families for the control of factors affecting their health. To this end, midwives should experience their own empowerment first. The present study was conducted to translate and determine the psychometric properties of the Perception ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05326-y
更新日期：2020-05-26 00:00:00
abstract：BACKGROUND:Decentralization through the establishment of hospital governing boards has been touted as an effective way to improve the quality and efficiency of hospitals in low-income countries. Although several studies have examined the process of decentralization, few have quantitatively assessed the implementation o...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-178
更新日期：2014-04-17 00:00:00
abstract：BACKGROUND:Aboriginal Australians have worse cancer survival rates than other Australians. Reasons include fear of a cancer diagnosis, reluctance to attend mainstream health services and discrimination from health professionals. Offering health professionals education in care focusing on Aboriginal patients' needs is i...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2599-z
更新日期：2017-09-15 00:00:00
abstract：BACKGROUND:Continuous medical education strategies, including academic detailing (AD), have mixed effects on the quality of prescribing in general practice. Alongside a cluster-randomized controlled trial (cRCT) to assess the effectiveness of AD visits (on appropriate prescribing of analgesics for chronic pain in osteo...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2797-8
更新日期：2017-12-21 00:00:00
