Evaluating the Effectiveness of the Most Widely Used Intervention Strategies in Reducing 30-Day Hospital Readmission for CHF Patients Using AHP
Year: 2015
Type: article
Study design: Systematic Review
Abstract: In recent years, numerous intervention strategies have been introduced that allow reducing preventable hospital readmission rate.This study evaluated and compared the impact of several intervention strategies that have been identified in past studies on thirty day heart failure hospital readmission rate.Five prior-at discharge strategies (implement comprehensive discharge planning, educate patient/caregivers, schedule and prepare for follow-up appointment, detailed discharge instructions, and help patient manage medication), five post discharge intervention strategies (promote patient selfmanagement, home visit, telephone, tele-monitoring, and outpatient (clinic) visit) were used in this study.Systematic review was conducted in order to extract the most useful data from the studies that discussed the effectiveness of different intervention strategies on reducing 30 day avoidable readmission for CHF patients.This data was utilized to compare these intervention strategies in terms of their role in reducing thirty day readmission rate, their cost, simplicity, and dependency of each.Analytical Hierarchy Process (AHP) was identified and used in this study to systematically investigate and compare those strategies.About 30 studies were carefully analyzed to get the needed data for this research.The overall results showed that educate patients/caregivers as prior-at discharge strategy and home visit as post discharge strategy are the most recommended strategies, in other iv words, these strategies should first come to mind when we look for the most effective intervention(s) in reducing 30 day CHF hospital readmission rate with reasonable cost.It was also found that Readmission reduction followed by the cost had the highest effect on selecting or ranking different intervention strategies.v ACKNOWLEDGMENTS I would like to thank God for giving me the strength to complete this work.I would also like to express my sincere gratitude to the Mechanical Engineering Department at the University of Akron for letting me fulfill my dream of getting this degree.To
Author: Ahmad Ali Khasawneh
Institution: University of Akron
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2605529075