COHPA Home
  • Blog
  • 2016
  • Patients Fair Better If They Can Make Choices During Their Care
ShareThis
Text Size:
Print This Page

Patients Fair Better if They Can Make Choices during Their Care

Click image to enlarge

By Karen Guin

Studies show that more than a third of patients hospitalized with heart failure are readmitted after 30 days -- at great personal costs to the patients and financial costs to the nation's health care system.

Now a UCF study shows that readmissions are significantly lower if patients receive individualized follow-up care at home that allows them to make choices about their care.

"Choice" is one of eight principles used to guide patient care in Florida Hospital's Creation Health program, said Thomas Wan, principal investigator for the study and associate dean for research in the College of Health and Public Affairs.

The other principles are rest, environment, activity, trust, interpersonal relationships, outlook and nutrition.

Wan and a team of UCF graduate students, including five from COHPA, examined the impact of care aligned with the eight principles on hospitalizations and readmissions in heart-failure patients. A one-year, $165,000 grant from Florida Hospital funded their research.

The research team conducted a systematic review and meta-analysis of clinical trial results published in the scientific literature. 

"Human factors are important not only for the healing process but also for health services use and outcomes," Wan said. "The potential beneficial effects of Creation Health principles have yet to be empirically demonstrated. We provided the review and analysis of the empirical literature."

The research team recently completed its study and summarized its findings in a white paper submitted to Florida Hospital. The group's findings include: 1) care that enabled patients to make choices resulted in a 16 percent reduction of readmissions, 2) care that incorporated the principles of choice and activity and interpersonal relationships led to a 32 percent reduction in readmissions. Other combinations of principles also led to reductions in readmissions but the percentages were lower.

Wan said the grant supported the work of Amanda Terry, Bobbie McKee and Waleed Kattan in the Doctoral Program in Public Affairs, and Rebecca Tregerman ('16) and Sara Dos Santo Barbaro in the master's degree program in health services administration. UCF statistics student Xiaolin Wang also was a member of the research team.

"They were great contributors to this study," he said.

Wan has secured a new one-year, $150,000 grant from Florida Hospital to conduct a similar study focused on preventing hospital readmissions in patients who had a pneumonia, chronic obstructive pulmonary disease, a joint replacement, an acute myocardial infarction or coronary artery bypass grafting. The new grant will fund research opportunities for UCF graduate students in 2016-17.

The researchers will author a white paper for each study they conduct for Florida Hospital, and subsequently submit the paper for publication in a scientific journal.

Share and Enjoy:

Mentioned : Thomas Wan
Categories :

Archive

The health care informatics master's program at UCF really helped me connect with the industry, meet people at conferences and sit for the most-desired certification exams."
— Michael Neimann M.S. in health care informatics ('14)
My internship with the District 9 Medical Examiner’s Office was one of the greatest experiences of my life. I gained an excellent understanding of the medical examiner’s office and the criminal justice field in general."
— Adam Stubley B.S. in criminal justice, criminal profiling certificate ('11)
UCF provides its physical therapy students with an excellent education and prepares them to work in the most challenging of settings."
— Jamie Dyson Rehabilitation Supervisor, Orlando Regional Medical Center
UCF's program provided me the opportunity to expedite my student experience while attaining practical experience working within local health systems."
— Daniel Barr V.P. at National Children's Hospital; M.S. in health sciences, health services administration track ('04)
My master's education helped me see the big picture of the nonprofit industry. UCF showed me how to see the different fundraising tools within the Central Florida area."
— Krysti Griffith Executive Director of Growth from Grief; Master of Nonprofit Management ('12)
The course opened my eyes to grant writing ... I learned a great deal and you [Barbara Howell] are truly an excellent instructor."
— Deborah Reith Master of Public Administration student who secured a $10,000 federal grant through a course project; B.S. in criminal justice ('86)
The skills I learned during my time at UCF are what made my transition to law school so seamless."
— Jacqueline Iaquinta Touro Law Center student; B.S. in legal studies ('10)
As an inaugural graduate of the M.R.A. program at UCF, I can attest to the outstanding curriculum developed for research administrators. "
— April Heyward Post Award Services Coordinator, University of South Carolina; Master of Research Administration ('13)
It was at UCF that I first learned many of the skills that I’ve since honed, including mapping with GIS software - an ability I found invaluable to my search for internships, graduate-level coursework, and employment."
— Richard "Ben" Hagen Research and Communications Associate, New Economy Project, New York City; B.S. in public administration ('10)
I am excited to be able to give back to the program that invested so much in me. It is truly and honor and a privilege."
— Carlos Gual Instructor of Athletic Training; B.S. in athletic training ('09)
The faculty advisor [at my medical school] was amazed that I had the opportunity to truly participate in the full spectrum of research as an undergraduate. "
— Chase Cavayero, medical student at Lake Erie College of Osteopathic Medicince, B.S. in health sciences - pre-clinical ('13) 
Give a Gift - The College of Healh & Public Affairs