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Unplanned Readmission to Hospitals at Home Care Set up in India - A Comparative Study

Received: 11 November 2019     Accepted: 12 December 2019     Published: 26 December 2019
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Abstract

The health care delivery system has undergone dramatic shifts in care settings in the recent past. More patients are receiving professional home care following discharge from hospitals, skilled-care facilities and rehabilitation centers. Home care has become an integral part of patient recovery especially among the long stay patients. Skilled nursing care delivered in the patient's home may prevent, foresee or limit costly readmissions back to hospitals. There are few other adverse events which are likely to happen at hospital settings like patient fall, developing HAI etc can be totally prevented in a home environment by one to one care which unloads the financial burden on both sides. There have been number of studies undertaken and many literatures are available on hospital readmission rates for reference. Nonetheless not much focus has been given to this particular area i.e. readmission of patients to hospitals while they are being taken care at home settings. Hence this study helps in understanding the readmission rates in home-based care. The study duration was from Jan 2018 – June 2018 to Jan 2019- June 2019. This was a comparative study and the study group was critically ill patients who were admitted during this time at Health care at home (HCAH), India.

Published in American Journal of Nursing Science (Volume 8, Issue 6)
DOI 10.11648/j.ajns.20190806.21
Page(s) 356-360
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Un Planned re Admissions, Comparative Study, Critical Care Patients Distribution, Causes of re Admission

References
[1] Health care at home India, L1-06 Nursing manual V1, Pt monitoring pg. 10-14.
[2] Health care at home India, L1-06 Nursing manual V1, Procedure - Care of the ventilated patient, pg. 24-26.
[3] U. S. Department of Veterans Affairs, “Risk prediction models for hospital readmission: A systemic Review”. Health Services Research.
[4] D. Butin, "Reducing re admission Tool kit, “Northeast Health Services for Secure".
[5] J. Herrin, S. Andre, K. Kenward, M. Joshi, AM Audel,. “Community factors and hospital readmission rates”. Health Serv Res. 2015 Feb; 50 (1): 20-39. Vol. 10.1111/1475-6773.12177. Epub 2014 Apr 9.
[6] K. Heery, C. Hull,” Ending Hospital Readmissions: A Blueprint for Homecare Providers”. vol. 1st edition. pp. 2-10.
[7] P Donovan, “Bench marks in Reducing Hospital readmission”, J Salamon, UK.
[8] Prakash Shastri, ICU Manual for nurses under the aegis of Indian Society of Critical Care medicice, 1st edition2017.
[9] Health care at home India, L1-05 Nursing manual V2, Vital Monitoring, pg. 50-59.
[10] https://www.ncbi.nlm.nih.gov/pubmed/16629969 Readmissions: a primary care examination of reasons for readmission of older people and possible readmission risk factors.
[11] https://www.ncbi.nlm.nih.gov/pubmed/10571497 Unplanned hospital readmissions: a home care perspective.
[12] G Lehman, “Horizons, United Healthcare”. Vol. 1AZ, pp 23-25, April 2019.
[13] https://www.ncbi.nlm.nih.gov/pubmed/8919749 Hospital readmissions during home care: a pilot study.
[14] https://www.ncbi.nlm.nih.gov/pubmed/8990610 unplanned readmissions of elderly patients.
[15] https://homehealthcarenews.com/2018/10/home-health-quality-on-the-upswing-readmission-rates-hold-steady/.
Cite This Article
  • APA Style

    Punitha Singh, Gaurav Thukral, Joseph PC, Babusona Sahoo. (2019). Unplanned Readmission to Hospitals at Home Care Set up in India - A Comparative Study. American Journal of Nursing Science, 8(6), 356-360. https://doi.org/10.11648/j.ajns.20190806.21

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    ACS Style

    Punitha Singh; Gaurav Thukral; Joseph PC; Babusona Sahoo. Unplanned Readmission to Hospitals at Home Care Set up in India - A Comparative Study. Am. J. Nurs. Sci. 2019, 8(6), 356-360. doi: 10.11648/j.ajns.20190806.21

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    AMA Style

    Punitha Singh, Gaurav Thukral, Joseph PC, Babusona Sahoo. Unplanned Readmission to Hospitals at Home Care Set up in India - A Comparative Study. Am J Nurs Sci. 2019;8(6):356-360. doi: 10.11648/j.ajns.20190806.21

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  • @article{10.11648/j.ajns.20190806.21,
      author = {Punitha Singh and Gaurav Thukral and Joseph PC and Babusona Sahoo},
      title = {Unplanned Readmission to Hospitals at Home Care Set up in India - A Comparative Study},
      journal = {American Journal of Nursing Science},
      volume = {8},
      number = {6},
      pages = {356-360},
      doi = {10.11648/j.ajns.20190806.21},
      url = {https://doi.org/10.11648/j.ajns.20190806.21},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20190806.21},
      abstract = {The health care delivery system has undergone dramatic shifts in care settings in the recent past. More patients are receiving professional home care following discharge from hospitals, skilled-care facilities and rehabilitation centers. Home care has become an integral part of patient recovery especially among the long stay patients. Skilled nursing care delivered in the patient's home may prevent, foresee or limit costly readmissions back to hospitals. There are few other adverse events which are likely to happen at hospital settings like patient fall, developing HAI etc can be totally prevented in a home environment by one to one care which unloads the financial burden on both sides. There have been number of studies undertaken and many literatures are available on hospital readmission rates for reference. Nonetheless not much focus has been given to this particular area i.e. readmission of patients to hospitals while they are being taken care at home settings. Hence this study helps in understanding the readmission rates in home-based care. The study duration was from Jan 2018 – June 2018 to Jan 2019- June 2019. This was a comparative study and the study group was critically ill patients who were admitted during this time at Health care at home (HCAH), India.},
     year = {2019}
    }
    

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    AU  - Punitha Singh
    AU  - Gaurav Thukral
    AU  - Joseph PC
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    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
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    AB  - The health care delivery system has undergone dramatic shifts in care settings in the recent past. More patients are receiving professional home care following discharge from hospitals, skilled-care facilities and rehabilitation centers. Home care has become an integral part of patient recovery especially among the long stay patients. Skilled nursing care delivered in the patient's home may prevent, foresee or limit costly readmissions back to hospitals. There are few other adverse events which are likely to happen at hospital settings like patient fall, developing HAI etc can be totally prevented in a home environment by one to one care which unloads the financial burden on both sides. There have been number of studies undertaken and many literatures are available on hospital readmission rates for reference. Nonetheless not much focus has been given to this particular area i.e. readmission of patients to hospitals while they are being taken care at home settings. Hence this study helps in understanding the readmission rates in home-based care. The study duration was from Jan 2018 – June 2018 to Jan 2019- June 2019. This was a comparative study and the study group was critically ill patients who were admitted during this time at Health care at home (HCAH), India.
    VL  - 8
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Author Information
  • Department of Nursing and Clinical Governance, Heath Care at Home India Pvt Ltd, Noida, India

  • Department of Nursing and Clinical Governance, Heath Care at Home India Pvt Ltd, Noida, India

  • Department of Nursing and Clinical Governance, Heath Care at Home India Pvt Ltd, Noida, India

  • Department of Nursing and Clinical Governance, Heath Care at Home India Pvt Ltd, Noida, India

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