In this large survey of readmitted patients, patients cited the top contributors to their readmission being feeling unprepared for discharge (12%), difficulty performing ADLs (11%), trouble adhering to discharge meds (6%), difficulty accessing discharge meds (5%) and lack of social support (5%). Patients with low SES were more likely to have difficulty understanding / executing their instructions and adhering to meds, and reported higher issues with lack of resources / social support, and higher rates of substance abuse. This information from a patient’s perspective can be very useful when designing discharge programs, especially for those from low SES (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.