JBI database of systematic reviews and implementation reports
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JBI Database System Rev Implement Rep · Feb 2016
Review Meta AnalysisEffectiveness of discharge interventions from hospital to home on hospital readmissions: a systematic review.
Many discharge interventions are developed to reduce unplanned hospital readmissions, but it is unclear which interventions are more effective. ⋯ Interventions designed to improve the care transition from hospital to home are effective in reducing hospital readmission. These interventions preferably start in the hospital and continue after discharge rather than starting after discharge. Enhancing patient empowerment is a key factor in reducing hospital readmissions.Interventions to reduce hospital readmissions should start during hospital stay and continue in the community (grade A recommendation). This requires financial systems to support and facilitate collaboration between hospitals and home care.Interventions that support patient empowerment are more effective in reducing hospital readmissions (grade B recommendation). To promote patient empowerment caregivers must be trained to increase patients' capacity to self-care.Future research should focus on interventions that improve patient empowerment and the effects of discharge interventions after more than three months.