| Title |
Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Discharge: A Randomized Control Trial
|
|---|---|
| Published in |
Journal of General Internal Medicine, February 2016
|
| DOI | 10.1007/s11606-016-3596-3 |
| Pubmed ID | |
| Authors |
Susan P. Bell, Jeffrey L. Schnipper, Kathryn Goggins, Aihua Bian, Ayumi Shintani, Christianne L. Roumie, Anuj K. Dalal, Terry A. Jacobson, Kimberly J. Rask, Viola Vaccarino, Tejal K. Gandhi, Stephanie A. Labonville, Daniel Johnson, Erin B. Neal, Sunil Kripalani, for the Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD) Study Group |
| Abstract |
Reduction in 30-day readmission rates following hospitalization for acute coronary syndrome (ACS) and acute decompensated heart failure (ADHF) is a national goal. The aim of this study was to determine the effect of a tailored, pharmacist-delivered, health literacy intervention on unplanned health care utilization, including hospital readmission or emergency room (ER) visit, following discharge. Randomized, controlled trial with concealed allocation and blinded outcome assessors SETTING: Two tertiary care academic medical centers PARTICIPANTS: Adults hospitalized with a diagnosis of ACS and/or ADHF INTERVENTION: Pharmacist-assisted medication reconciliation, inpatient pharmacist counseling, low-literacy adherence aids, and individualized telephone follow-up after discharge MAIN MEASURES: The primary outcome was time to first unplanned health care event, defined as hospital readmission or an ER visit within 30 days of discharge. Pre-specified analyses were conducted to evaluate the effects of the intervention by academic site, health literacy status (inadequate versus adequate), and cognition (impaired versus not impaired). Adjusted hazard ratios (aHR) and 95 % confidence intervals (CI) are reported. A total of 851 participants enrolled in the study at Vanderbilt University Hospital (VUH) and Brigham and Women's Hospital (BWH). The primary analysis showed no statistically significant effect on time to first unplanned hospital readmission or ER visit among patients who received interventions compared to controls (aHR = 1.04, 95 % CI 0.78-1.39). There was an interaction of treatment effect by site (p = 0.04 for interaction); VUH aHR = 0.77, 95 % CI 0.51-1.15; BWH aHR = 1.44 (95 % CI 0.95-2.12). The intervention reduced early unplanned health care utilization among patients with inadequate health literacy (aHR 0.41, 95 % CI 0.17-1.00). There was no difference in treatment effect by patient cognition. A tailored, pharmacist-delivered health literacy-sensitive intervention did not reduce post-discharge unplanned health care utilization overall. The intervention was effective among patients with inadequate health literacy, suggesting that targeted practice of pharmacist intervention in this population may be advantageous. |
X Demographics
The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 29% |
| Unknown | 5 | 71% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 57% |
| Practitioners (doctors, other healthcare professionals) | 1 | 14% |
| Scientists | 1 | 14% |
| Science communicators (journalists, bloggers, editors) | 1 | 14% |
Mendeley readers
The data shown below were compiled from readership statistics for 301 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 301 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 65 | 22% |
| Student > Ph. D. Student | 28 | 9% |
| Student > Bachelor | 26 | 9% |
| Researcher | 23 | 8% |
| Student > Postgraduate | 15 | 5% |
| Other | 54 | 18% |
| Unknown | 90 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 61 | 20% |
| Pharmacology, Toxicology and Pharmaceutical Science | 57 | 19% |
| Nursing and Health Professions | 33 | 11% |
| Psychology | 13 | 4% |
| Social Sciences | 9 | 3% |
| Other | 26 | 9% |
| Unknown | 102 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 May 2023.
All research outputs
#6,510,001
of 23,937,746 outputs
Outputs from Journal of General Internal Medicine
#3,637
of 7,818 outputs
Outputs of similar age
#86,180
of 301,012 outputs
Outputs of similar age from Journal of General Internal Medicine
#42
of 108 outputs
Altmetric has tracked 23,937,746 research outputs across all sources so far. This one has received more attention than most of these and is in the 72nd percentile.
So far Altmetric has tracked 7,818 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 21.8. This one has gotten more attention than average, scoring higher than 53% of its peers.
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We're also able to compare this research output to 108 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 62% of its contemporaries.