We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Evaluating the Impact of a Mobile Integrated Health‒Community Paramedicine Program on Health-Related Social Needs and Hospital Readmissions.
- Authors
Miller, Gabriella; Liang, Yuanyuan; Stryckman, Benoit; Seidl, Kristin; Harris, Erinn; Landi, Colleen; Thomas, Jessica; Marcozzi, David; Gingold, Daniel B.
- Abstract
Objective. Evaluate a mobile integrated health–community paramedicine program's effect on addressing health-related social needs and their association with hospital readmissions. Methods. This observational study enrolled 1,003 patients from 5/4/2018–7/23/21. Descriptive statistics summarize social needs. A Poisson regression model examined the association of interventions for social needs with 30-day readmissions. Results. Patients who had their medication-related needs fully addressed had a 65% lower rate of total 30-day readmission compared with patients who had no such needs fully addressed (IRR=0.35, 95% CI 0.18–0.68, P=.002). No variables reached statistical significance related to unplanned 30-day readmissions, aside from the HOSPITAL Score. Conclusions. Assisting patients with medication-related needs is associated with reductions in overall 30-day readmissions. Interventions within most domains were not associated with reductions in overall or unplanned 30-day readmissions. This program had greater success addressing needs with one-step interventions, suggesting additional time and resources may be necessary to address complex social needs.
- Subjects
SOCIAL determinants of health; EVALUATION of human services programs; SCIENTIFIC observation; CONFIDENCE intervals; MOBILE hospitals; COMMUNITY health services; RETROSPECTIVE studies; EMERGENCY medical services; DESCRIPTIVE statistics; HOSPITAL care; INTEGRATED health care delivery; NEEDS assessment; PARAMEDICINE; MEDICAL needs assessment; POISSON distribution; TELEMEDICINE
- Publication
Journal of Health Care for the Poor & Underserved, 2023, Vol 34, Issue 4, p1270
- ISSN
1049-2089
- Publication type
Article
- DOI
10.1353/hpu.2023.a912717