Patient and Provider Perspectives on 30-Day Readmissions, Preventability, and Strategies for Improving Transitions of Care for Patients with HIV at a Safety Net Hospital

J Int Assoc Provid AIDS Care. 2019 Jan-Dec:18:2325958219827615. doi: 10.1177/2325958219827615.

Abstract

Thirty-day hospital readmissions, a key quality metric, are common among people living with HIV. We assessed perceived causes of 30-day readmissions, factors associated with preventability, and strategies to reduce preventable readmissions and improve continuity of care for HIV-positive individuals. Patient, provider, and staff perspectives toward 30-day readmissions were evaluated in semistructured interviews (n = 86) conducted in triads (HIV-positive patient, medical provider, and case manager) recruited from an inpatient safety net hospital. Iterative analysis included both deductive and inductive themes. Key findings include the following: (1) The 30-day metric should be adjusted for safety net institutions and patients with AIDS; (2) Participants disagreed about preventability, especially regarding patient-level factors; (3) Various stakeholders proposed readmission reduction strategies that spanned the inpatient to outpatient care continuum. Based on these diverse perspectives, we outline multiple interventions, from teach-back patient education to postdischarge home visits, which could substantially decrease hospital readmissions in this underserved population.

Keywords: 30-day hospital readmission; HIV/AIDS; qualitative methods; safety net.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Continuity of Patient Care / organization & administration*
  • Female
  • HIV Infections / therapy*
  • Health Personnel
  • Hospitals / statistics & numerical data
  • Humans
  • Male
  • Middle Aged
  • Patient Readmission / statistics & numerical data*
  • Patients
  • Safety-net Providers / statistics & numerical data*
  • Young Adult