Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/17971
Title: Effects of a health-social partnership transitional program on hospital readmission : a randomized controlled trial
Authors: Wong, FKY 
Ho, MM
Yeung, S
Tam, SK
Chow, SK 
Keywords: China
Health-social partnership
Hong Kong
Hospital readmission
Nurse case management
Quality of life
Self efficacy
Transitional care
Issue Date: 2011
Publisher: Pergamon-Elsevier Science Ltd
Source: Social science and medicine, 2011, v. 73, no. 7, p. 960-969 How to cite?
Journal: Social Science and Medicine 
Abstract: Hospital readmission is an indicator of care quality. Studies have been conducted to test whether post-discharge transitional care programs can reduce hospital readmission, but results are not conclusive. The contemporary development of post-discharge support advocates a health and social partnership approach. There is a paucity of experimental studies examining the effects of such efforts. This study designed a health-social transitional care management program (HSTCMP) and subjected it to empirical testing using a randomized controlled trial in the medical units of an acute general hospital with 1700 beds in Hong Kong during the period of February 2009 to July 2010. Results using per-protocol analysis revealed that the HSTCMP significantly reduced readmission at 4-weeks (study 4.0%, control 10.2%, χ 2 = 7.98, p = 0.005). The intention-to-treat result also showed a lower readmission rate with the study group but the result was not significant (study 11.5%, control 14.7%, χ 2 = 1.53, p = 0.258). There was however significant improvement in quality of life, self-efficacy and satisfaction in the study group in both per-protocol and intention-to-treat analyses. The study suggests that a health-social partnership, using volunteers as substitutes for some of the professional care, may be effective for general medical patients.
URI: http://hdl.handle.net/10397/17971
DOI: 10.1016/j.socscimed.2011.06.036
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