Reduction in 30-day readmission rates following hospitalization for acute coronary syndrome (ACS) and acute decompensated heart failure (ADHF) is a national goal.The aim of this study was to determine the effect of a tailored, pharmacist-delivered, health literacy intervention on unplanned health care utilization, including hospital readmission or emergency room (ER) visit, following discharge.Randomized, controlled trial with concealed allocation and blinded outcome assessorsTwo tertiary care academic medical centersAdults hospitalized with a diagnosis of ACS and/or ADHF.Pharmacist-assisted medication reconciliation, inpatient pharmacist counseling, low-literacy adherence aids, and individualized telephone follow-up after dischargeThe primary outcome was time to first unplanned health care event, defined as hospital readmission or an ER visit within 30 days of discharge. Pre-specified analyses were conducted to evaluate the effects of the intervention by academic site, health literacy status (inadequate versus adequate), and cognition (impaired versus not impaired). Adjusted hazard ratios (aHR) and 95

作者：Susan P, Bell；Jeffrey L, Schnipper；Kathryn, Goggins；Aihua, Bian；Ayumi, Shintani；Christianne L, Roumie；Anuj K, Dalal；Terry A, Jacobson；Kimberly J, Rask；Viola, Vaccarino；Tejal K, Gandhi；Stephanie A, Labonville；Daniel, Johnson；Erin B, Neal；Sunil, Kripalani

来源：Journal of general internal medicine 2016 年 31卷 5期