Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/153775
Title: EFFECTIVENESS OF TELEPHONE FOLLOW-UP VERSUS A COMBINED HOME VISIT AND TELEPHONE FOLLOW-UP INTERVENTION IN REDUCING ACUTE HEALTH SERVICE UTILIZATION
Authors: LEE YUAN YING
Keywords: transitional care
readmissions
length of stay
acute healthcare utilization
comorbidity
patient acuity
high-risk
Issue Date: 25-May-2019
Citation: LEE YUAN YING (2019-05-25). EFFECTIVENESS OF TELEPHONE FOLLOW-UP VERSUS A COMBINED HOME VISIT AND TELEPHONE FOLLOW-UP INTERVENTION IN REDUCING ACUTE HEALTH SERVICE UTILIZATION. ScholarBank@NUS Repository.
Abstract: Background: Transitional care is increasingly important in reducing readmission rates and length of stay (LOS). Singapore is focusing on transitional care to address the needs of a multimorbid, ageing population. Previous studies demonstrated promising outcomes for telephone follow-up (TFU) and home-based interventions (HBI), but few have evaluated their comparative effectiveness on acute healthcare utilization and specific patient populations most likely to benefit. Aims: To evaluate and compare the effectiveness of TFU and HBI on 30-day, 60-day, 180-day readmissions and LOS within 180 days, and identify specific patient populations most likely to benefit. Design: A retrospective comparative study was conducted. Methods: Data was obtained from hospital database of the highest-risk patients enrolled into a transitional care program of local tertiary hospital from 1 April 2017 to 31 December 2017. Patients received either TFU or HBI. Primary outcome was 30-day readmission rate. IBM SPSS 25.0 was used for data analysis. Results: There was no statistically significant difference in readmissions or LOS between TFU and HBI. After sensitivity analysis to exclude demised patients, TFU had statistically significant lower LOS than HBI. Both interventions demonstrated statistically significant reductions in readmissions and LOS in pre-post analyses. Certain patient factors were associated with effectiveness of TFU and HBI. Conclusions: This study showed that TFU may be more effective than HBI in patients with lower clinically severity, even though both interventions were associated with statistically significant reductions in acute healthcare utilization. Study findings may be used to inform transitional care practices. Future studies should continue to examine the comparative effectiveness of transitional care interventions and the patient populations most likely to benefit.
URI: https://scholarbank.nus.edu.sg/handle/10635/153775
Appears in Collections:Bachelor's Theses

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