Effect of physician prescribed information on hospital readmission and death after discharge among patients with health failure: A randomized controlled trial

Abstract

In order to understand if a physician prescribed medical information changes, the number of hospital readmission, and death among the heart failure patients. A 12-month randomized controlled trial was conducted (December 2013–2014). Totally, 120 patients were randomly allocated into two groups of intervention ( n = 60) and control ( n = 60). Accordingly, the control group was given the routine oral information by the nurse or physician, and the intervention group received the Information Prescription (IP) prescribed by the physician as well as the routine oral information. The data was collected via telephone interviews with the follow-up intervals of 6 and 12 months, and also for 1 year after the discharge. The patients with the median age of (IQR) 69.5 years old (19.8) death upon adjusting a Cox survival model, [RR = 0.67, 95%CI: 0.46–0.97]. Few patients died during 1 year in the intervention group compared to the controls (7 vs 15) [RR = 0.47, 95%CI: 0.20–1.06]. During a period of 6-month follow-up there was not statistically significant on death and readmission between two groups. Physician prescribed information was clinically and statistically effective on the reduction of death and hospital readmission rates among the HF patients in long term follow-up.

Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs

“…Most interventions were hospital- and home-based [ 35–37 , 39–46 , 48–52 , 55 , 57 , 59 , 64–82 ]. Some were offered in the hospital setting only [ 47 , 56 , 63 , 83 ] and others in the home setting only [ 38 , 53 , 54 , 58 , 61 , 62 , 80 ].…”

Increasing participation by National Health Service knowledge and library services staff in patient and public information: The role of Knowledge for Healthcare, 2014–2019

“…A study by Callaway on health literacy suggests that members of the public are interested in adding health librarians to their care team to advise on information sources and support health literacy (Callaway, 2019 ). Work in Iran found that where an information topic is prescribed by a clinician and a clinical librarian ensures that the information supplied is based on current evidence and meets individual needs, the reduction in terms of hospital readmissions and mortality is greater than from a short‐term follow up appointment (Kazemi Majd et al, 2021 ). There are clearly significant future developments that are possible for measuring the impact of work by librarians and knowledge staff on patient and public information.…”

Heart Failure with Preserved Ejection Fraction: How to Deal with This Chameleon

“…Motivational interviewing focuses on building a trusting relationship with the patient and learning about the problems by inquiring about the patient’s main symptoms, subjective feelings, lifestyle, disease control experience, psychology, and difficulties throughout the course of the illness, seeking out solutions for self-care problems, encouraging patients to talk about their difficulties when changing behaviors, and guiding them to think about ways of solving these problems. Chen et al demonstrated that the self-care behavior of HF subjects could be improved effectively through motivational interviewing [ 149 , 150 ]. Developing awareness of HFpEF consists in acquiring the ability to recognize functional impairment related to the disease.…”