title: Exploring perceived control and self-rated health in re-admissions among younger adults: A retrospective study.
abstract: OBJECTIVE
  Although health promotion calls for patient empowerment, it is not integrated in reducing re-admissions. This study examines the link among patient perceived control, self-rated health and fewer hospital re-admissions.
  
  
  METHODS
  An empirical explorative retrospective cross-sectional study with 208 respondents aged 40-65 with poor health and identical health plans. All measures hold good psychometric properties.
  
  
  RESULTS
  Self-rated health was strongly related to fewer re-admissions. Perceived control moderated the relationship between self-rated health and fewer re-admissions. Perceived control and self-rated health, together, contributed 5.2% to the variance in re-admissions.
  
  
  CONCLUSIONS
  Perceived control and perceived health status each explained a different share of the variance of re-admissions. Together, these perceptions reduced re-admissions by .40. Patient-clinician communication upon discharge may be a new direction to reduce re-admissions, improve delivery of care and promote health.
  
  
  CONCLUSIONS
  To reduce re-admissions, managements need to invest in restructuring the patient discharge process. A physician-patient dialogue shaping patient perceptions about their health status, perceived room for health improvement, and available internal and external resources may make a difference. Findings stress the need to allocate more time and resources for discharge communication processes and for physician training on psycho-social skills that may empower patients upon discharge.
authors.affiliation: Head of Systemic Organizational Development, School of Behavioral Studies, College of Management Academic Studies, 7 Rabin Boulevard, Rishon Letzion 91750, Israel. Electronic address: gillie.gabay@gmail.com.
authors.forename: Gillie
authors.initials: G
authors.lastname: Gabay
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010359:Patient Readmission / Q000706:statistics & numerical data*; D010465:Perception; D011209:Power, Psychological; D012189:Retrospective Studies; D012649:Self Concept
keywords: Empowerment; Hospitalizations; Locus of control; Re-admissions; Self-rated health