Identifying Factors Contributing to Hospital Readmission of Patients With Chronic Obstructive Pulmonary Diseases

Chronic obstructive pulmonary disease (COPD) is one of the leading causes of hospital readmission within 30 days of discharge. However, the factors that contribute to early readmission of COPD patients are not well understood, nor is it clear how to reduce readmission. This study used a qualitative phenomenological approach to examine COPD patients\u27 experience on factors that contribute to the COPD readmission rate and practices that might reduce it. In depth interviews with 10 COPD patients were conducted to explore their lived experiences of factors contributing to hospital readmission with COPD exacerbation. Questions were asked on issues known to affect readmission and the elements of behavior change used in the health belief model, which served as the study\u27s theoretical framework. The results showed that the leading causes of early readmission relate to participants\u27 difficulty making recommended behavior changes and their perception that more education and support are essential in managing and accepting COPD, including a better understanding of the disease\u27s severity. All participants spoke of the need for improved communication with their providers and continuity of care in doctor visits, pulmonary rehab programs, and educational support, especially during the COPD hospital discharge process. This study\u27s results can help develop management programs to reduce the rate of COPD patient readmissions within 30 days, which would reduce health care spending, improve the quality of life for COPD patients, and contribute to a positive social change