domingo, 3 de mayo de 2015

Fwd: CRG y Reingresos


Ann Fam Med. 2015 Mar;13(2):115-22. doi: 10.1370/afm.1753.

Timeliness of outpatient follow-up: an evidence-based approach for planning after hospital discharge.

Patients with multiple complex chronic conditions, who account for the great majority of readmissions among Medicaid and Medicare recipients nationally,21 stand to benefit considerably from timely follow-up. For those whose readmission risk exceeds 20%, our analysis suggests that 1 readmission may be prevented for every 5 patients who receive outpatient follow-up within 14 days. These patients are characterized by having 3 or more chronic conditions, often including advanced coronary artery disease, chronic obstructive pulmonary disease, chronic renal failure, congestive heart failure, diabetes, ischemic vascular disease, or a history of organ transplant, dialysis, or total parenteral nutrition. In this statewide Medicaid population, however, only 51% of patients in high-risk categories received follow-up within 14 days, and for every high-risk patient who did not receive follow-up, there was a low-risk patient who did. Healthier patients and those with greater social support or self-management skills may be better equipped to secure and attend an earlier follow-up appointment, but potentially at the cost of delaying care for those with more complex needs.



Interesante articulo entre CRG y reingresos.
http://www.annfammed.org/content/13/2/115.long

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