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Psychosocial and Nonclinical Factors Predicting Hospital Utilization in Patients of a Chronic Disease Management Program: A Prospective Observational Study

Tran, Mark W. BPhysio(Hons), Dip Management; Weiland, Tracey J. PhD, MPsych, BBSc(Hons); Phillips, Georgina A. MBBS, FACEM

Journal of Ambulatory Care Management: January/March 2015 - Volume 38 - Issue 1 - p 77–86
doi: 10.1097/JAC.0b013e31829d9e81
Original Articles

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.

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.

Correspondence: Mark W. Tran, BPhysio (Hons), Dip Management, St Vincent's Hospital Melbourne, PO Box 2900, Fitzroy, Victoria 3065, Australia (

This project was completed with the financial support of the Research Endowment Fund Grant of St Vincent's, Melbourne. The main author (M.W.T.) works in the CDMP in which this study was conducted. The other authors are also employees of St Vincent's. The source of funding for this research project was derived wholly from within the organization, St Vincent's Hospital Melbourne (an Australian tertiary teaching public hospital), of which the 3 authors are employed at.

All 3 authors declare that there are no conflicts of interests arising from this original work.

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