title: The Efficacy of Written Information Intervention in Reduction of Hospital Re-admission Cost in Patients With Heart Failure; A Systematic Review and Meta-Analysis.
abstract: OBJECTIVE
  To assess the efficacy of written information versus non written information intervention in reducing hospital readmission cost, if prescribed or presented to the patients with HF.
  
  
  METHODS
  The study was a systematic review and meta-analysis. We searched Medline (Ovid) and Cochrane library during the past 20 years from 1993 to 2013. We also conducted a manual search through Google Scholar and a direct search in the group of related journals in Black Well and Science Direct trough their websites. Two reviewers appraised the identified studies, and meta-analysis was done to estimate the mean saving cost of patient readmission. All the included studies must have been done by randomization to be eligible for study.
  
  
  RESULTS
  We assessed the full-texts 3 out of 65 studies with 754 patients and average age of 74.33. The mean of estimated saving readmission cost in intervention group versus control group was US $2751 (95% CI: 2708 - 2794) and the mean of total saving cost in intervention group versus control group was US $2047 (base year 2010) with (95% CI: 2004 - 2089). No publication bias was found by testing the heterogeneity of studies.
  
  
  CONCLUSIONS
  One of the effective factors in minimizing the healthcare cost and preventing from hospital re-admission is providing the patients with information prescription in a written format. It is suggested that hospital management, Medicare organizations, policy makers and individual physicians consider the prescription of appropriate medical information as the indispensable part of patient's care process.
authors: Tabriz Health Services Management Research Center, National public Health Management Center (NPMC), and Department of Medical Library and Information Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
authors: Vahideh
authors: V
authors: Zarea Gavgani
authors: Faculty of Management and Health Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
authors: Faranak
authors: F
authors: Kazemi Majd
authors: Iranian Center of Excellence in Health Service Management, Tabriz University of Medical Sciences, Tabriz, Iran.
authors: Shirin
authors: S
authors: Nosratnejad
authors: Department of Cardiology, Tabriz University of Medical Sciences, Tabriz, Iran.
authors: Ali
authors: A
authors: Golmohammadi
authors: Road Traffic Injury Research Centre, Department of Statistical and Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.
authors: Homayoun
authors: H
authors: Sadeghi-Bazargani
keywords: Heart Failure; Meta-Analysis; Patient Admission