Journal of Clinical Epidemiology
Volume 52, Issue 2 , Pages 151-156 , February 1999

Comparison Between Planned and Unplanned Readmissions to a Department of Internal Medicine

  • Michel P. Kossovsky

      Affiliations

    • Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland
    • Quality of Care Unit, Geneva University Hospitals, Geneva, Switzerland
    • Groupe de recherche et d’analyse en systèmes et soins hospitaliers (GRASSH), Geneva University Hospitals, Geneva, Switzerland
    • Corresponding Author InformationAddress for correspondence: Dr. M. Kossovsky, Direction Médicale, Hôpitaux Universitaires de Genève, 1211 Genève 14, Switzerland
    • ,
  • Thomas V. Perneger

      Affiliations

    • Quality of Care Unit, Geneva University Hospitals, Geneva, Switzerland
    • Groupe de recherche et d’analyse en systèmes et soins hospitaliers (GRASSH), Geneva University Hospitals, Geneva, Switzerland
    • Institute of Social and Preventive Medicine, University of Geneva, Geneva, Switzerland
    • ,
  • François P. Sarasin

      Affiliations

    • Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland
    • Groupe de recherche et d’analyse en systèmes et soins hospitaliers (GRASSH), Geneva University Hospitals, Geneva, Switzerland
    • ,
  • Filippo Bolla

      Affiliations

    • Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland
    • Groupe de recherche et d’analyse en systèmes et soins hospitaliers (GRASSH), Geneva University Hospitals, Geneva, Switzerland
    • ,
  • François Borst

      Affiliations

    • Groupe de recherche et d’analyse en systèmes et soins hospitaliers (GRASSH), Geneva University Hospitals, Geneva, Switzerland
    • Division of Medical Computing, Geneva University Hospitals, Geneva, Switzerland
    • ,
  • Jean-Michel Gaspoz

      Affiliations

    • Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland
    • Groupe de recherche et d’analyse en systèmes et soins hospitaliers (GRASSH), Geneva University Hospitals, Geneva, Switzerland

,Accepted 1 September 1998.

References 

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  3. Anderson GF, Steinberg EP. Hospital readmissions in the Medicare population. N Engl J Med. 1984;311:1349–1353
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  8. Ashton CM, Wray NP, Dunn JK, Scheurich JW, De Behnke RD, Friedland JA. Predicting readmission in veterans with chronic disease. Development and validation of discharge criteria. Med Care. 1987;25:1184–1189
  9. Ashton CM, Kuykendall DH, Johnson ML, Wray NP, Wu L. The association between the quality of inpatient care and early readmission. Ann Intern Med. 1995;122:415–421
  10. Ashton CM, delJunco DJ, Souchek J, Wray NP, Mansyur CL. The association between the quality of inpatient care and early readmissions (A meta-analysis of the evidence). Med Care. 1997;35:1044–1059
  11. DesHarnais SI, McMahon LF, Wroblewski RT, Hogan AJ. Measuring hospital performance. The development and validation of risk-adjusted indexes of mortality, readmissions, and complications. Med Care. 1990;28:1127–1141
  12. Wray NP, Ashton CM, Kuykendall DH, Petersen NJ, Souchek J, Hollingsworth JC. Selecting disease-outcome pairs for monitoring the quality of hospital care. Med Care. 1995;33:75–89
  13. Ashton CM, Wray NP. A conceptual framework for the study of early readmission as an indicator of quality of care. Soc Sci Med. 1996;43:1533–1541
  14. Clarke A. Are readmissions avoidable?. Br Med J. 1990;301:1136–1138
  15. Chambers M, Clarke A. Measuring readmission rates. Br Med J. 1990;301:1134–1136
  16. Cox D, Oakes D. The Analysis of Survival Data. London: Chapman & Hall; 1984;
  17. Ashton CM, Kuykendall DH, Johnson ML, et al.  A method of developing and weighting explicit process of care criteria for quality assessment. Med Care. 1994;32:755–770
  18. Wray NP, Ashton CM, Kuykendall DH, Hollingsworth JC. Using administrative databases to evaluate the quality of medical care (A conceptual framework). Soc Sci Med. 1995;40:1707–1715
  19. Wray NP, Peterson NJ, Souchek J, Ashton CM, Hollingsworth JC. Application of an analytic model to early readmission rates within the department of veterans affairs. Med Care. 1997;35:768–781

PII: S0895-4356(98)00142-5

Journal of Clinical Epidemiology
Volume 52, Issue 2 , Pages 151-156 , February 1999

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