Patients’ Perspectives on Determinants Avoidable Hospitalizations: Development and Validation of a Questionnaire

Sarmento, João; Siopa, Margarida; Feteira-Santos, Rodrigo; Lopes, S.; Dias, Sónia; Guerreiro, António Sousa; Panarra, António; Nascimento, Paula; Rodrigues, Afonso; Rodrigues, Ana; Rocha, Jorge Luiz da; Santana, Rui

doi:10.3390/ijerph19053138

Cited by 3 publications

(4 citation statements)

References 30 publications

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“… 38 All tools assessed neighborhood or physical environment risks, while nine assessed healthcare access. 38 Sarmento et al 39 developed a questionnaire on determinants of potentially avoidable hospitalization, mainly covering disease self‐management, social support, health literacy, health status, and lifestyle at the individual level, and healthcare access and environmental characteristics at the contextual level. Although social risk screening tools are available in the literature, 40 , 41 there is a paucity of appropriate and comprehensive instruments for social risks that may have a greater impact on hospitalization.…”

Section: Discussionmentioning

confidence: 99%

The association of patient‐reported social determinants of health and hospitalization rate: A scoping review

Ardekani

Fereidooni

Heydari

et al. 2023

Health Science Reports

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Introduction The interplay between social determinants of health (SDOH) and hospitalization is significant as targeted interventions can improve the social status of the individuals. This interrelation has been historically overlooked in health care. In the present study, we reviewed studies in which the association between patient‐reported social risks and hospitalization rate was assessed. Method We performed a scoping literature review of articles published until September 1, 2022 without time limit. We searched PubMed, Embase, Web of Science, Scopus, and Google Scholar to find relevant studies using terms representing “social determinants of health” and “hospitalization.” Forward and backward reference checking was done for the included studies. All studies that used patient‐reported data as a proxy of social risks to determine the association between social risks and hospitalization rates were included. The screening and data extraction processes were done independently by two authors. In case of disagreement, senior authors were consulted. Results Our search process retrieved a total of 14,852 records. After the duplicate removal and screening process, eight studies met the eligibility criteria, all of which were published from 2020 to 2022. The sample size of the studies ranged from 226 to 56,155 participants. All eight studies investigated the impact of food security on hospitalization, and six investigated economic status. In three studies, latent class analysis was applied to divide participants based on their social risks. Seven studies found a statistically significant association between social risks and hospitalization rates. Conclusion Individuals with social risk factors are more susceptible to hospitalization. There is a need for a paradigm shift to meet these needs and reduce the number of preventable hospitalizations.

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Section: Discussionmentioning

confidence: 99%

The association of patient‐reported social determinants of health and hospitalization rate: A scoping review

Ardekani

Fereidooni

Heydari

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…Estudos demonstram uma associação positiva entre a TC e a qualidade de vida, e resultados negativos relativos à utilização inadequada dos serviços de urgência e readmissões potencialmente evitáveis, quando não são desenvolvidas estratégicas estruturadas de TC (Alqenae et al, 2020;Opper et al, 2019;Sarmento et al, 2022).…”

Section: Discussionunclassified

“…Para melhorar o valor em saúde, é essencial definir indicadores para obtenção de resultados que sustentem melhores práticas e apoiem os políticos, gestores e equipas na compreensão da eficiência e dos desafios da implementação de intervenções no âmbito do processo de TC. A definição e monitorização desses indicadores são fundamentais para avaliar a efetividade e a eficiência das intervenções em TC, permitindo a identificação de áreas de melhoria e a tomada de decisão baseada em evidências (Kampstra et al, 2018;Sarmento et al, 2022). A utilização desses indicadores também pode contribuir para a avaliação da sustentabilidade e dos custos das intervenções em TC, garantindo a alocação eficiente dos recursos em saúde (Ng & de Colombani, 2015).…”

Section: Discussionunclassified

Transição de cuidados em saúde: pontos-chave para a criação e implementação de um projeto

Santos

Santo

Nascimento

et al. 2023

Rev Port Inv Comp Soc

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Objetivo: A transição de cuidados (TC) do hospital para o domicílio é um indicador potencial para a avaliação dos cuidados integrados e centrados nas pessoas. Este estudo qualitativo, exploratório e descritivo, teve como objetivo identificar os princípios das boas práticas da TC na alta hospitalar, através da análise de conteúdo de experiências compartilhadas por profissionais em saúde num workshop. Métodos: O workshop envolveu duas moderadoras, quatro oradoras e 24 profissionais em saúde divididos em três grupos. As oradoras apresentaram boas práticas da TC em saúde e os grupos propuseram estratégias de TC, com base nas apresentações das oradoras e nas suas experiências e conhecimentos na área da saúde. As propostas foram registadas em áudio e analisadas em termos de conteúdo. Resultados: Segundo os participantes, a criação e implementação de um projeto de TC implica contextualizar e definir: o problema/necessidade, objetivos, população-alvo, intervenientes e as suas funções, elos, parcerias de saúde-sociais-comunitárias, redes de comunicação e indicadores de avaliação de processo e resultados. Conclusão: A importância da TC na alta hospitalar foi destacada, fornecendo-se insights para a criação e implementação de um projeto de TC bem-sucedido.

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“…In general, the higher the PCC level, the higher the patient's and doctor's satisfaction and the higher the quality and safety of medical care (23)(24)29). People with complicated health problems tend to have a USC; some studies reported that PCC, along with a USC, reduces preventable hospitalization and improves health outcomes (24,(30)(31). Only one study has reported the positive effect of a USC on the PCC of patients with disabilities (26), and to the best of our knowledge, there are no other studies on the direct effect of PCC on the PPH of patients with disabilities.…”

Section: Introductionmentioning

confidence: 99%

Effect of Patient-Centred Communication and Usual Source of Care on Potentially Preventable Hospitalization among Patients with Chronic Diseases and Disabilities

Choi

Yoon

Jung

2023

Preprint

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Background: This study examined the effect of the degree of patient-centred communication (PCC) and having a usual source of care (USC) on potentially preventable hospitalization (PPH) among chronic disease patients with disability. In particular, we empirically analysed whether PCC and USC could reduce the possibility of PPH among patients with disabilities compared to that among those without disabilities. Methods: This study used data from the Korean Health Panel Survey 2017-2018 (7,271 patients without disabilities and 774 patients with disabilities). The dependent variable was extracted from the 2018 KHPS data, while all other variables included in the analysis were extracted from the 2017 KHPS data and subjected to multivariate logistic regression analysis; subgroup analysis was performed according to the severity of disability. Results: The incidence of PPH was higher in the group with disabilities (4.5%) than in the group without disabilities (2.2%). Significantly more patients with disabilities than those without disabilities had a USC (67.7% vs. 56.9%), and more patients with severe disabilities than those with mild disabilities had a USC (75.9% vs. 63.5%). Multivariate logistic regression analysis showed that the risk of PPH increased when PCC was insufficient in patients with disabilities (OR = 2.92, 95%CI [1.41–6.04]), those with mild disabilities (OR = 2.51, 95%CI [1.02–6.20]), and those in the severe disability group who did not have a USC (OR = 5.06, 95%CI [1.03–24.80]). The effects of USCs and PCC on PPH were not observed in patients without disabilities. Conclusion: Sufficient PCC and having a USC helped reduce the incidence of PPH among patients with disabilities and chronic conditions. It is necessary to find practical ways to enhance PCC and expand the use of USCs among patients with disabilities so that they can receive appropriate primary healthcare services in a timely manner.

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Patients’ Perspectives on Determinants Avoidable Hospitalizations: Development and Validation of a Questionnaire

Cited by 3 publications

References 30 publications

The association of patient‐reported social determinants of health and hospitalization rate: A scoping review

The association of patient‐reported social determinants of health and hospitalization rate: A scoping review

Transição de cuidados em saúde: pontos-chave para a criação e implementação de um projeto

Effect of Patient-Centred Communication and Usual Source of Care on Potentially Preventable Hospitalization among Patients with Chronic Diseases and Disabilities

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