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THE HOSPITAL TO HOME TRANSITION: EFFECTS OF LIFE CHANCES AND LIFE CHOICES ON UNPLANNED HOSPITAL READMISSIONS
Abstract
Roughly 18% of all patients discharged from hospitals in the United States experience an unplanned hospital readmission (UR) within 30 days which can be life-threatening to patients and extremely costly for the health care system. Medicare alone paid $900.8 billion in 2021, or 21 percent of total national hospital expenditures. A promising theory for adding to our understanding of the causes for URs is Health Lifestyle Theory (HLT). It proposes that structural factors (e.g., SES, hospital procedures) affect one’s life chances and that socialization and personal experiences affect one’s life choices and the two merge to produce a person’s health lifestyle. The purpose of our study was to consider the ability of HLT to explain why some patients recover after hospital discharge while others experience URs. To accomplish our purpose, we interviewed 37 patients in their homes who had been discharged from a regional hospital in north Texas roughly 30 days prior to being interviewed. All the patients had been admitted for various serious illnesses. Fourteen of the patients had experienced an UR. Qualitative analyses included open and focused coding. Data from those experiencing an UR and those avoiding an UR were analyzed separately. We found the HLT to provide sound reasons for patients experiencing recovery or URs. Those who experienced an UR were found to have similar life chances caused by structural factors and similar life choices based on their socialization and personal experiences. Specific structural factors and personal experiences associated with life chances and life choices are presented.
Journal Article
Future directions in social development
Inviting readers to think about future directions in social development, this book succinctly presents the historical context and progress of social development. By reflecting on the millennium and sustainable development goals, it discusses the increasing global relevance of several critical themes and issues such as human rights and good governance, participation, peace, gender, environment, religion and spirituality, aging, social protection and partnership.
Book
Social education as a factor of personality formation in the learning process
The social formation of personality is a continuous natural process. Many social problems of a person and the ability to independently solve them are mainly determined by his social development. This article deals with such issues as the socialization of the individual, social education. Basic concepts and terms related to social education are interpreted. The content of social education is studied - a set of elements of social experience, which is transmitted to the younger generation in the process of social education, as well as a complex of socially significant qualities formed in young people. It describes the features of the subjects of social education - agents of positive socialization of the younger generation (and a particular child), creating conditions for the formation of a social subject. The approach of Anatoly Viktorovich Mudrik is mainly analyzed. The scientist took up this issue in the 70s. An approach to the definition of periods, mechanisms, factors of socialization, as well as the concept of \"victims of socialization\" is being explored. The novelty and modernity of the author's concept on this issue are put forward. The features and content of the concept of \"subculture\" are also considered.
Journal Article
DERIVAS INFANTILES HACIA MESOSISTEMAS
Precscolarcs, socialización, ecología del desarrollo Abstract: Adrift accompanying the daily trajectories of preschoolers, along with adult figures, spontaneous encounters with unknown adult figures from their social environment were recorded. The study was able to outline children's styles of coping with novel situations, as well as the challenge of symbolic resolution that they represent for secondary socialization. Under the concept of \"transitions\" (from micro to mesosystems) in the development ecosystem, several possible scenarios arc characterized and interaction systems underlying the situations studied are modeled. Subrayan así la importancia de observar los intercambios, dónde tienen lugar, si aparecen simultáneamente y entrelazados; en contextos de interacción social, en los cuales niños y niñas comparten, con pares y adultos, diversas actividades cotidianas en su hogar, comunidad y entorno escolar.
Journal Article
Grande et petite histoire chez Thomas Chapais
Thomas Chapais (1858-1946) est l’un des premiers historiens canadiens-français à consacrer une partie de ses écrits et discours à des réflexions sur les formes que peut prendre l’écriture de l’histoire. À une époque où sa notoriété est déjà bien établie, il élabore une réflexion originale sur le cadre monographique et le cadre synthétique en s’inscrivant explicitement dans une conception littéraire et poétique de l’histoire. À la base de ces idées sur la forme, on retrouve deux approches de l’histoire relevant d’un même mode d’enquête mais utilisant des focales d’observation différentes : la grande histoire et la petite histoire. En amont de cette réflexion, Chapais a tenté de résoudre la tension entre « impartialité » et « impassibilité ». Cette opération lui permet d’élaborer sa conception de l’historien idéal, soucieux à la fois de la vérité historique, de l’attachement à une réalité nationale et de l’importance du style dans l’écriture.
Journal Article