OBJECTIVE To compare trends in readmission rates among safety net and non-safety net hospitals under the US Hospital Readmission Reduction Program (HRRP). DESIGN A retrospective time series analysis using Medicare administrative claims data from January 2008 to June 2015. SETTING We examined 3254 US hospitals eligible for penalties under the HRRP, categorised as safety net or non-safety net...

background at altnagelvin, a district general hospital in northern ireland, we have observed that a significant number of hip fracture admissions are later readmitted for treatment of other medical conditions. these readmissions place increasing stress on the already significant burden that orthopedic trauma poses on national health services. objectives the aim of this study was to review a ser...

Objective To compare trends in readmission rates among safety net and non-safety net hospitals under the US Hospital Readmission Reduction Program (HRRP). Design A retrospective time series analysis using Medicare administrative claims data from January 2008 to June 2015. Setting We examined 3254 US hospitals eligible for penalties under the HRRP, categorised as safety net or non-safety net hos...

OBJECTIVE To examine the association of hospital volume (a marker of quality of care) with hospital readmission rates. DESIGN Retrospective cross-sectional study. SETTING 4651 US acute care hospitals. STUDY DATA 6,916,644 adult discharges, excluding patients receiving psychiatric or medical cancer treatment. MAIN OUTCOME MEASURES We used Medicare fee-for-service data from 1 July 2011 to...

OBJECTIVE The study examined the feasibility and effectiveness of using peer support to reduce recurrent psychiatric hospitalizations. METHODS A randomized controlled design was used, with follow-up at nine months after an index discharge from an academically affiliated psychiatric hospital. Patients were 18 years or older with major mental illness and had been hospitalized three or more time...

AIM This paper describes a follow-up of acute psychiatric hospital contact in Auckland, New Zealand for an admission cohort in the 5-years past an index admission (published in the NZMJ in 2005). METHODS A 5-year follow-up study of hospital psychiatric service utilisation by 924 patients admitted (index admission) in Auckland during 2000. Hospital admissions within New Zealand for this popula...

Main results 9 trials (n=1568) met the selection criteria. Follow up duration ranged from 2–24 months. Sample sizes ranged from 90–378 participants. Individual patient data were obtained for 4 trials (n=646). Patients allocated to day hospital care had a longer duration of index admission than those allocated to inpatient care (table). Day hospital and inpatient care did not differ for total nu...