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Automated telephone follow-up programs after hospital discharge: Do older adults engage with these programs?
Harrison, James D; Sudore, Rebecca L; Auerbach, Andrew D; Shah, Sachin; Oreper, Sandra; Wheeler, Margaret Meg; Fang, Margaret C.
Afiliação
  • Harrison JD; Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA.
  • Sudore RL; Division of Geriatrics, University of California San Francisco, San Francisco, California, USA.
  • Auerbach AD; Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA.
  • Shah S; Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA.
  • Oreper S; Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA.
  • Wheeler MM; Office of Population Health, UCSF Health, San Francisco, California, USA.
  • Fang MC; Division of Hospital Medicine, University of California San Francisco, San Francisco, California, USA.
J Am Geriatr Soc ; 70(10): 2980-2987, 2022 10.
Article em En | MEDLINE | ID: mdl-35767470
BACKGROUND: Health systems have developed automated telephone call programs to screen and triage patients' post-hospital discharge issues and concerns. The aims of our study were to determine whether and how older adults engage with automated post-hospital discharge telephone programs and to describe the prevalence of patient-reported post-discharge issues. METHODS: We identified all telephone calls made by an urban academic medical center as part of a post-hospital discharge program between May 1, 2018 and April 30, 2019. The program used automated telephone outreach to patients or their caregivers that included 11 distinct steps 3 days post-discharge. All adults discharged home from the hospital, were included, and we categorized patients into ≤64 years, 65-84 years, and ≥85 years age groups. We then compared call reach rate, completeness of 11-step calls and patient-reported issues between age groups. RESULTS: Eighteen thousand and seventy six patients were included. More patients 65-84 years old were reached compared to patients ≤64 years old (84.3% vs. 78.9%, AME 5.52%; 95%CI: 3.58%-7.45%). Completion rates of automated calls for those ≥85 years old were also high. Patients ≥85 years old were more likely to have questions about their follow-up plans and need assistance scheduling appointments compared to those ≤64 years old (19.0% vs. 11.9%, AME 7.0% (95%CI: 2.7%-11.3%). CONCLUSION: Post-hospital automated telephone calls are feasible and effective at reaching older adults. Future work should focus on improving discharge communication to ensure older adults are aware of their follow-up plan and appointments.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Alta do Paciente / Continuidade da Assistência ao Paciente Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Humans Idioma: En Revista: J Am Geriatr Soc Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Alta do Paciente / Continuidade da Assistência ao Paciente Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Humans Idioma: En Revista: J Am Geriatr Soc Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos