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Search All Research Studies
Topics
- Care Management (1)
- Case Study (1)
- Data (1)
- Elderly (3)
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- Healthcare Cost and Utilization Project (HCUP) (2)
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- (-) Shared Decision Making (7)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 7 of 7 Research Studies DisplayedKennedy EE, Bowles KH, Aryal S
Systematic review of prediction models for postacute care destination decision-making.
This article reported a systematic review of studies containing development and validation of models predicting post-acute care destination after adult inpatient hospitalization, summarized clinical populations and variables, evaluated model performance, assessed risk of bias and applicability, and made recommendations to reduce bias in future models. Findings indicated that prediction modeling studies for post-acute care destinations were becoming more prolific in the literature, but model development and validation strategies were inconsistent, and performance was variable. Most models were developed using regression, but machine learning methods were increasing in frequency.
AHRQ-funded; HS026599; HS027742.
Citation: Kennedy EE, Bowles KH, Aryal S .
Systematic review of prediction models for postacute care destination decision-making.
J Am Med Inform Assoc 2021 Dec 28;29(1):176-86. doi: 10.1093/jamia/ocab197..
Keywords: Shared Decision Making, Transitions of Care
Abrahamson K, Hass Z, Arling G
Shall I stay or shall I go? The choice to remain in the nursing home among residents with high potential for discharge.
This study examines why private-pay nursing home (NH) residents who expressed a desire for discharge and had relatively low-care needs chose to remain in the NH. The Minnesota Return to Community Initiative (RTCI) is a program that assists those residents to return to the community. Those who remained were more likely to beolder, more cognitively impaired, unmarried, had behavior problems, or diagnosed with dementia. At a 90-day assessment, residents who remained in the facility had a small decline in cognitive status, their continence improved, and they become more independent in activities of daily living (ADLs). Seventy-four percent of those remaining reported a perception of health barriers to discharge.
AHRQ-funded; HS020224.
Citation: Abrahamson K, Hass Z, Arling G .
Shall I stay or shall I go? The choice to remain in the nursing home among residents with high potential for discharge.
J Appl Gerontol 2020 Aug;39(8):863-70. doi: 10.1177/0733464818807818..
Keywords: Elderly, Nursing Homes, Long-Term Care, Transitions of Care, Shared Decision Making
Ingraham A, Wang X, Havlena J
Factors associated with the interhospital transfer of emergency general surgery patients.
Researchers used data from the Nationwide Inpatient Sample to determine patient- and hospital-level factors associated with interhospital emergency general surgery (EGS) transfers. They identified that hospital-level characteristics more strongly predicted the need for transfer than patient-related factors. They recommended considering these factors in order to facilitate transfer decision-making.
AHRQ-funded; HS025224.
Citation: Ingraham A, Wang X, Havlena J .
Factors associated with the interhospital transfer of emergency general surgery patients.
J Surg Res 2019 Aug;240:191-200. doi: 10.1016/j.jss.2018.11.053..
Keywords: Healthcare Cost and Utilization Project (HCUP), Emergency Department, Surgery, Shared Decision Making, Hospitals, Healthcare Delivery, Transitions of Care
Balentine CJ, Leverson G, Vanness DJ
Selecting post-acute care settings after abdominal surgery: are we getting it right?
Using Nationwide Inpatient Sample data, the authors investigated whether variation in post-acute care (PAC) services could be explained by surgeons discharging clinically similar patients to different PAC destinations. They found considerable potential for reducing variation in PAC use and costs by better understanding how surgeons make decisions about PAC placement.
AHRQ-funded; HS023009.
Citation: Balentine CJ, Leverson G, Vanness DJ .
Selecting post-acute care settings after abdominal surgery: are we getting it right?
Am J Surg 2018 Aug;216(2):260-66. doi: 10.1016/j.amjsurg.2017.08.043..
Keywords: Care Management, Shared Decision Making, Healthcare Cost and Utilization Project (HCUP), Surgery, Transitions of Care
Sockolow PS, Yang Y, Bass EJ
Data visualization of home care admission nurses' decision-making.
This study investigated nurses’ decision making regarding hospital to home care admissions. They conducted a focus group case study with six admitting home health nurses at a rural agency in Pennsylvania and analyzed the data using thematic analysis.
AHRQ-funded; HS024537.
Citation: Sockolow PS, Yang Y, Bass EJ .
Data visualization of home care admission nurses' decision-making.
AMIA Annu Symp Proc 2018 Apr 16;2017:1597-606..
Keywords: Data, Shared Decision Making, Home Healthcare, Nursing, Transitions of Care
Gupta K, Mueller SK
Interhospital transfers: the need for standards.
Patient transfers from one hospital to another are common and occur for a multitude of reasons with varied outcomes. The authors discuss interhospital transfers and difficulties encountered by the providers who care for these patients. They recommend further research to identify more clearly which patients are most likely to benefit from transfer and why.
AHRQ-funded; HS023331.
Citation: Gupta K, Mueller SK .
Interhospital transfers: the need for standards.
J Hosp Med 2015 Jun;10(6):415-7. doi: 10.1002/jhm.2320.
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Keywords: Case Study, Shared Decision Making, Elderly, Patient Safety, Transitions of Care
Baier RR, Wysocki A, Gravenstein S
A qualitative study of choosing home health care after hospitalization: the unintended consequences of 'patient choice' requirements.
The purpose of this qualitative study is to learn how quality reports are used when choosing home care. Focus groups with 13 home health consumers and interviews with 28 hospital case managers from five hospitals revealed that both groups were unaware of public reports about home care quality.
AHRQ-funded; HS021879
Citation: Baier RR, Wysocki A, Gravenstein S .
A qualitative study of choosing home health care after hospitalization: the unintended consequences of 'patient choice' requirements.
J Gen Intern Med. 2015 May;30(5):634-40. doi: 10.1007/s11606-014-3164-7..
Keywords: Shared Decision Making, Elderly, Home Healthcare, Hospital Discharge, Transitions of Care