e.g. mhealth
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Patient Portal Use and Risk of Readmissions in Decompensated Cirrhosis: Retrospective Study
Many readmissions may be prevented through augmented ambulatory care and monitoring [3]. Interventions to decrease the burden of liver disease have focused primarily on increasing outpatient monitoring through the use of early patient follow-up after hospitalization and specialized clinics [4]. More recently, there have been efforts to use telehealth tools with a specific focus on asynchronous care and remote patient monitoring [5-7].
JMIR Form Res 2023;7:e47080
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This happens in approximately 25% of all readmissions nationally and is associated with poor patient outcomes, including higher in-hospital mortality and longer lengths of stay [7-10]. Information discontinuity is one potential driver of poor outcomes in fragmented readmissions: because a patient’s medical record may not be available at the readmission hospital, the care team may be making decisions with incomplete clinical information.
JMIR Aging 2023;6:e41936
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Predicting Readmission Charges Billed by Hospitals: Machine Learning Approach
Readmissions have been a significant contributor to rising health care costs. The hospital cost associated with 30-day all-cause readmissions was approximately US $41.3 billion for 2011 [4]. Even before the pandemic, annual hospital readmission costs were approximately US $26 billion for Medicare alone [5]. The pandemic caused a further increase in readmission costs [6].
JMIR Med Inform 2022;10(8):e37578
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The authors found that there were no significant differences in hospital readmissions, emergency room visits, or death between the 2 groups. The no-show rate with virtual visits also trended lower than the rate for in-person visits [10].
The COVID-19 pandemic propelled virtual care to center stage in 2020 given the need to reduce exposure risk among both health care workers and patients, particularly in the SNF setting.
JMIR Cardio 2021;5(1):e29101
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In a prior single-center study, we evaluated the acceptability and performance of the Patient Buddy app for preventing readmissions in patients with cirrhosis [5].
J Med Internet Res 2021;23(4):e24639
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Evaluating Patient-Centered Mobile Health Technologies: Definitions, Methodologies, and Outcomes
Several recently published studies and consensus statements have demonstrated that there is only modest (and in many cases, low-quality) evidence that m Health can improve patient clinical outcomes such as lengths of stay or reduction of readmissions [6-9]. There is also uncertainty as to whether m Health can improve patient-centered outcomes such as patient engagement or patient satisfaction [6-10].
JMIR Mhealth Uhealth 2020;8(11):e17577
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