SHM Converge Scientific Abstract ePoster Gallery-How Health-Related Social Needs Impact Readmissions in Frequently Hospitalized Patients

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This document summarizes a study on how health-related social needs (HRSN) affect hospital readmissions among frequently hospitalized patients with chronic conditions. The authors note that many such patients have unmet social needs, and while multidisciplinary programs can improve trust, screening, and quality of life, they have not consistently reduced readmissions.<br /><br />The study used a retrospective chart review of 151 patients from the CHAMP randomized controlled trial cohort. Eligible patients were frequently hospitalized based on prior inpatient readmission or observation stay patterns. Researchers reviewed health records for several HRSN, including insurance status, transportation insecurity, housing instability, medication access issues, and food insecurity. The outcome was whether a patient had an inpatient readmission within 180 days of CHAMP enrollment.<br /><br />Using univariate analyses and a multivariable logistic regression model, the study found that food insecurity and transportation insecurity were associated with readmissions at 180 days. The authors suggest that these forms of insecurity may make readmission reduction especially difficult because they are often tied to broader financial challenges that patients cannot easily solve on their own.<br /><br />The main conclusion is that future interventions for frequently hospitalized patients may be more effective if they specifically target food and transportation insecurity, since these needs appear to be linked with higher readmission risk.

Asset Subtitle

Kevin J. O'Leary

Meta Tag

Author List Bruce Henschen, Chapman Michelle, Jing Song, Jungwha Lee, Kevin J. O'Leary, Maria Theodorou

Category Research

Concept Social Needs

Concept Hospital Readmission

Concept Food Insecurity

Concept Transportation Insecurity

Concept 180-Day Readmission

Distinguished Non-Finalist

Presenter Organization Northwestern University Feinberg School of Medicine

Presenting Author Kevin J. O'Leary

Track Value in Hospital Medicine

Keywords

hospital readmission

health-related social needs

food insecurity

transportation insecurity

chronic conditions

frequently hospitalized patients

retrospective chart review

multivariable logistic regression

social determinants of health

CHAMP trial

Social Needs

Hospital Readmission

Food Insecurity

Transportation Insecurity

180-Day Readmission