The impact of hospital utilization on patient readmission rate

Health Care Manag Sci. 2012 Mar;15(1):29-36. doi: 10.1007/s10729-011-9178-3. Epub 2011 Sep 1.

Abstract

We investigate the issue of patient readmission at a large academic hospital in the U.S. Specifically, we look for evidence that patients discharged when post-operative unit utilization is high are more likely to be readmitted. After examining data from 7,800 surgeries performed in 2007, we conclude that patients who are discharged from a highly utilized post-operative unit are more likely to be readmitted within 72 h. Each additional bed utilized at time of discharge increases the odds of readmission on average by 0.35% (Odds Ratio = 1.008, 95% CI [1.003, 1.012]). We propose that this effect is due to an increased discharge rate when the unit is highly utilized.

MeSH terms

  • Academic Medical Centers / statistics & numerical data
  • Age Factors
  • Female
  • Hospitals / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Patient Discharge / statistics & numerical data*
  • Patient Readmission / statistics & numerical data*
  • Postoperative Period
  • Racial Groups
  • Sex Factors