title: Psychosocial and nonclinical factors predicting hospital utilization in patients of a chronic disease management program: a prospective observational study.
abstract: Psychosocial factors such as marital status (odds ratio, 3.52; 95% confidence interval, 1.43-8.69; P = .006) and nonclinical factors such as outpatient nonattendances (odds ratio, 2.52; 95% confidence interval, 1.22-5.23; P = .013) and referrals made (odds ratio, 1.20; 95% confidence interval, 1.06-1.35; P = .003) predict hospital utilization for patients in a chronic disease management program. Along with optimizing patients' clinical condition by prescribed medical guidelines and supporting patient self-management, addressing psychosocial and nonclinical issues are important in attempting to avoid hospital utilization for people with chronic illnesses.
authors.affiliation: St Vincent's Hospital Melbourne, Fitzroy (Mr Tran, Dr Weiland, and Ms Phillips), and University of Melbourne, Parkville (Dr Weiland and Ms Phillips), Victoria, Australia.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Tran
authors.forename: Tracey J
authors.initials: TJ
authors.lastname: Weiland
authors.forename: Georgina A
authors.initials: GA
authors.lastname: Phillips
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000628:therapy*; D003710:Demography; D019468:Disease Management; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006292:Health Priorities; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D014739:Victoria