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Table 3 Principal factor contributing to readmission and its avoidability

From: Avoidable readmission in Hong Kong - system, clinician, patient or social factor?

  All patients (N = 603) % Preventable cases (n = 246) % % of preventability within each factor
System factor    
Inadequate discharge planning 2.3 5.7 100.0
Failure of postdischarge follow-up care 0.3 0.4 50.0
Lack of care coordination 0.3 0.8 100.0
Inadequate palliative care/terminal care 1.7 4.1 100.0
A need to transfer to Convalescence 1.3 3.3 100.0
Others 0.2 0.4 100.0
Sub-total 6.1 14.6 97.3
Clinician factor    
Premature discharge 4.0 9.3 95.8
Drug-related adverse event 4.5 7.7 70.4
Discharge with a missing/erroneous diagnosis/therapy 2.8 6.9 100.0
Suboptimal medical care 3.5 7.3 85.7
Threshold for admission 4.5 10.6 96.3
Others 0.2 0.4 100.0
Sub-total 19.4 42.3 88.9
Patient factor    
New complaint 32.3 3.3 4.1
Relapse of previous complaint 22.7 22.4 40.1
Progress of previous complaint 10.8 6.5 24.6
Recurrence of previous pathology 3.8 1.6 17.4
Compliance problem 4.1 8.1 80.0
Others 0.2 0.0 0.0
Sub-total 74.0 41.9 23.1
Social factor    
Patient coping 0.2 0.4 100.0
Carer system, lack of support & community services 0.3 0.8 100.0
Others 0.0 0.0 0.0
Sub-total 0.5 1.2 100.0
Total 100.0 100.0 40.8