Authors: Shreya Kangovi; Nandita Mitra; David Grande; Mary L. White; Sharon McCollum; Jeffrey Sellman; Richard P. Shannon; Judith A. Long
Objective: To determine whether a tailored community health worker (CHW) intervention would improve posthospital outcomes among low-SES patients.
Results: Using intention-to-treat analysis, we found that intervention patients were more likely to obtain timely posthospital primary care, to report high-quality discharge communication, and to show greater improvements in mental health and patient activation. There were no significant differences between groups in physical health, satisfaction with medical care, or medication adherence. Similar proportions of patients in both arms experienced at least one 30-day readmission; however, intervention patients were less likely to have multiple 30-day readmissions. Among the subgroup of 63 readmitted patients, recurrent readmission was reduced from 40.0% vs 15.2%.
Link: http://archinte.jamanetwork.com/article.aspx?articleid=1828743
Resource Topic: CHW Role, Chronic conditions, Community Case Management, Community Health Workers/Volunteers, Data Collection, Minority Population, NON Communicable Diseases/NCD
Resource Type: Case studies, Journal articles, Research
Year: 2014
Region: North America (U.S. and Canada)
Country: United States of America
Publisher May Restrict Access: No