Study: Patients Fair Better if They Can Make Choices During Their Care
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Study: Patients Fair Better if They Can Make Choices during Their Care
Wednesday, August 10, 2016
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
"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.
"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.
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If we can change the system and bring people together to have the right kind of conversations, then we can really make a long-term change in people's lives -- and that is the goal.
— Nancy Ellis,
Director, Center for Community Partnerships, UCF; Ph.D., public affairs, '07
I am especially proud to be a graduate of the program. The outstanding faculty and multidisciplinary curriculum have provided me with the unique opportunity to enjoy the kind of academic career I always envisioned.
— Joe Saviak,
Assistant Director and Associate Professor, Public Administration Program, Flagler College; Ph.D., public affairs, '07
Our goals are to offer students a venue for exploring interdisciplinary approaches to policy issues, building various skills for the professional work environment and creating comradery among PAF students.
— Lauren O'Bryne,
Doctoral Student and Secretary, Doctoral Program in Public Affairs Student Organization
I like the interactions that I have with my professors as advisors in developing my dissertation because they are critical, yet encouraging at the same time.
— Matt Bagwell,
Doctoral Student and Graduate Research Assistant, Rural Health Research Group