Table 3 Principal factor contributing to readmission and its avoidability
From: Avoidable readmission in Hong Kong - system, clinician, patient or social factor?
| Â | All patients (N = 603) % | Preventable cases (n = 246) % | % of preventability within each factor |
|---|---|---|---|
System factor | Â | Â | Â |
Inadequate discharge planning | 2.3 | 5.7 | 100.0 |
Failure of postdischarge follow-up care | 0.3 | 0.4 | 50.0 |
Lack of care coordination | 0.3 | 0.8 | 100.0 |
Inadequate palliative care/terminal care | 1.7 | 4.1 | 100.0 |
A need to transfer to Convalescence | 1.3 | 3.3 | 100.0 |
Others | 0.2 | 0.4 | 100.0 |
Sub-total | 6.1 | 14.6 | 97.3 |
Clinician factor | Â | Â | Â |
Premature discharge | 4.0 | 9.3 | 95.8 |
Drug-related adverse event | 4.5 | 7.7 | 70.4 |
Discharge with a missing/erroneous diagnosis/therapy | 2.8 | 6.9 | 100.0 |
Suboptimal medical care | 3.5 | 7.3 | 85.7 |
Threshold for admission | 4.5 | 10.6 | 96.3 |
Others | 0.2 | 0.4 | 100.0 |
Sub-total | 19.4 | 42.3 | 88.9 |
Patient factor | Â | Â | Â |
New complaint | 32.3 | 3.3 | 4.1 |
Relapse of previous complaint | 22.7 | 22.4 | 40.1 |
Progress of previous complaint | 10.8 | 6.5 | 24.6 |
Recurrence of previous pathology | 3.8 | 1.6 | 17.4 |
Compliance problem | 4.1 | 8.1 | 80.0 |
Others | 0.2 | 0.0 | 0.0 |
Sub-total | 74.0 | 41.9 | 23.1 |
Social factor | Â | Â | Â |
Patient coping | 0.2 | 0.4 | 100.0 |
Carer system, lack of support & community services | 0.3 | 0.8 | 100.0 |
Others | 0.0 | 0.0 | 0.0 |
Sub-total | 0.5 | 1.2 | 100.0 |
Total | 100.0 | 100.0 | 40.8 |