Patients' and providers' perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge.

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  • Additional Information
    • Affiliation:
      Department of Hospital Pharmacy, OLVG, Amsterdam The Netherlands
      Department of Internal Medicine, OLVG, Amsterdam The Netherlands
      Department of Pharmacy, Sint Maartenskliniek, Nijmegen The Netherlands
      Department of Pharmacy, Radboud University Medical Centre, Nijmegen The Netherlands
      Department of Hospital Pharmacy, Erasmus MC, University Medical Center Rotterdam, Rotterdam The Netherlands
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Hospital readmissions are increasingly used as an indicator of quality in health care. One potential risk factor of readmissions is polypharmacy. No studies have explored the patients' perspectives on the medication relatedness and potential preventability of their readmissions. Objective: To compare the patients' perspectives on the medication relatedness and potential preventability of their readmissions with the providers' perspectives. Methods: Patients unplanned readmitted within 30 days after discharge at one of the participating departments of OLVG Hospital in Amsterdam were interviewed during their readmission. Patients' perspectives regarding medication relatedness of their readmissions, the potential preventability, possible preventable interventions, and satisfaction with medication information were examined. Health‐care providers also reviewed files of these readmitted patients. Primary outcome was the percentage of medication‐related and potentially preventable readmissions according to the patient vs the provider. Descriptive data analysis was used. Results: According to patients, 36 of 172 (21%) readmissions were medication‐related, and of these, 21 (58%) were potentially preventable. According to providers, 26 (15%) readmissions were medication‐related and 6 (23%) of these were potentially preventable. Patients and providers agreed on the medication relatedness in 11 of the 172 readmissions, and in two of these, agreement on the potential preventability existed. According to patients, preventive interventions belonged mostly to the hospital level, followed by the primary care level and patient level. Conclusion: Patients and providers differ substantially on their perspectives regarding the medication relatedness and preventability of readmissions. Patients were more likely to view medication‐related readmissions as preventable.
    • Journal Subset:
      Europe; Health Services Administration; Peer Reviewed; UK & Ireland
    • ISSN:
      1369-6513
    • MEDLINE Info:
      NLM UID: 9815926
    • Grant Information:
      This research was financially supported by the Innovation Fund of OLVG Hospital.
    • Publication Date:
      20200128
    • Publication Date:
      20200201
    • DOI:
      10.1111/hex.12993
    • Accession Number:
      141383486
  • Citations
    • ABNT:
      UITVLUGT, E. B. et al. Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge. Health Expectations, [s. l.], v. 23, n. 1, p. 212–219, 2020. DOI 10.1111/hex.12993. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141383486. Acesso em: 23 out. 2020.
    • AMA:
      Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge. Health Expectations. 2020;23(1):212-219. doi:10.1111/hex.12993
    • APA:
      Uitvlugt, E. B., Janssen, M. J. A., Siegert, C. E. H., Leenders, A. J. A., Bemt, B. J. F., Bemt, P. M. L. A., & Karapinar, Ç. F. (2020). Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge. Health Expectations, 23(1), 212–219. https://doi.org/10.1111/hex.12993
    • Chicago/Turabian: Author-Date:
      Uitvlugt, Elien B., Marjo J. A. Janssen, Carl E. H. Siegert, Anna J. A. Leenders, Bart J. F. Bemt, Patricia M. L. A. Bemt, and Çarkit, Fatma Karapinar. 2020. “Patients’ and Providers’ Perspectives on Medication Relatedness and Potential Preventability of Hospital Readmissions within 30 Days of Discharge.” Health Expectations 23 (1): 212–19. doi:10.1111/hex.12993.
    • Harvard:
      Uitvlugt, E. B. et al. (2020) ‘Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge’, Health Expectations, 23(1), pp. 212–219. doi: 10.1111/hex.12993.
    • Harvard: Australian:
      Uitvlugt, EB, Janssen, MJA, Siegert, CEH, Leenders, AJA, Bemt, BJF, Bemt, PMLA & Karapinar, ÇF 2020, ‘Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge’, Health Expectations, vol. 23, no. 1, pp. 212–219, viewed 23 October 2020, .
    • MLA:
      Uitvlugt, Elien B., et al. “Patients’ and Providers’ Perspectives on Medication Relatedness and Potential Preventability of Hospital Readmissions within 30 Days of Discharge.” Health Expectations, vol. 23, no. 1, Feb. 2020, pp. 212–219. EBSCOhost, doi:10.1111/hex.12993.
    • Chicago/Turabian: Humanities:
      Uitvlugt, Elien B., Marjo J. A. Janssen, Carl E. H. Siegert, Anna J. A. Leenders, Bart J. F. Bemt, Patricia M. L. A. Bemt, and Çarkit, Fatma Karapinar. “Patients’ and Providers’ Perspectives on Medication Relatedness and Potential Preventability of Hospital Readmissions within 30 Days of Discharge.” Health Expectations 23, no. 1 (February 2020): 212–19. doi:10.1111/hex.12993.
    • Vancouver/ICMJE:
      Uitvlugt EB, Janssen MJA, Siegert CEH, Leenders AJA, Bemt BJF, Bemt PMLA, et al. Patients’ and providers’ perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge. Health Expectations [Internet]. 2020 Feb [cited 2020 Oct 23];23(1):212–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=141383486