Association Between Community Social Capital and Hospital Readmission Rates

Association Between Community Social Capital and Hospital Readmission Rates

Hospital readmissions remain frequent, and are partly attributable to patients' social needs. The authors sought to examine whether local community levels of social capital are associated with hospital readmission rates. Social capital refers to the connections among members of a society that f...

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Veröffentlicht in:Population health management 2019-02, Vol.22 (1), p.4-47
Hauptverfasser: Brewster, Amanda L., Lee, Suhna, Curry, Leslie A., Bradley, Elizabeth H.
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container_title Population health management
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creator Brewster, Amanda L.
Lee, Suhna
Curry, Leslie A.
Bradley, Elizabeth H.
description Hospital readmissions remain frequent, and are partly attributable to patients' social needs. The authors sought to examine whether local community levels of social capital are associated with hospital readmission rates. Social capital refers to the connections among members of a society that foster norms of reciprocity and trust, which may influence the availability of support for postdischarge recovery after hospitalization. Associations between hospital-wide, risk-stratified readmission rates for hospitals in the United States (n = 4298) and levels of social capital in the hospitals' service areas were examined. Social capital was measured by an index of participation in associational activities and civic affairs. A multivariate linear regression model was used to adjust for hospital and community factors such as hospital financial performance, race, income, and availability of heath care services. Results showed that higher social capital was significantly associated with lower readmission rates ( P  
doi_str_mv 10.1089/pop.2018.0030
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title Association Between Community Social Capital and Hospital Readmission Rates
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