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Family Consultation To Reduce Early Hospital Readmissions Among Patients With End-Stage Renal Disease: A Randomized Clinical Trial, Matthew James Jasinski

Wayne State University Dissertations

Background: The U.S. Centers for Medicare and Medicaid Services have mandated reducing early hospital readmissions (i.e., within 30 days of discharge) to both improve patient care and reduce expenses. Patients with end-stage renal disease (ESRD) have relatively high early readmission rates, due in part to their complex medical regimens but also cognitive impairment, health literacy problems, and lack of social support. We developed a brief family consultation intervention to address these problems and tested its ability to reduce early readmissions among patients with ESRD.

Method: 120 hospitalized adults with ESRD (M age = 57.5 years; 50% male; 86% Black, 12% …