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Editor's Note
November 2014

Preventable Readmission—Is It in the Eye of the Beholder?

JAMA Intern Med. 2014;174(11):1872-1873. doi:10.1001/jamainternmed.2014.3105

Despite the emphasis on delivering patient-centered medicine, patients are rarely asked directly what they want or think. That is why I liked this study by Howard-Anderson et al.1 In the context of major national policy initiatives and hospital quality initiatives focused on preventing readmission, the authors asked patients who were readmitted whether the admission, in their view, was preventable. Only 27% said yes. To make the case for objective determination of preventable readmissions even more challenging, physicians agreed with the judgment of patients as to whether the admission was preventable in fewer cases than you would expect by chance.

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