Perceived family environment predicts hospital utilization following kidney transplantation

Susan E. Yount, Andrew L. Brickman, Gail Ironson, Robert O. Morgan

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to investigate the relationships between pre-transplant psychosocial variables and hospital utilization following kidney transplantation. The subjects were 137 kidney transplant recipients who had retained a functioning graft for 1 year or more. Dependent variables included inpatient hospital charges ('charges') and the average number of hospital days per admission ('days') during the first year post-transplant. Independent measures collected pre-transplant included demographic and medical variables, depression, and perceived family environment. Stepwise multiple regression analyses determined significant predictor variables within demographic, medical, and family environment domains that ultimately served as predictors in the final hierarchical regression models. Findings revealed that greater perceived independence and organization in the family environment predicted lower charges; lower perceived family cohesion and conflict and greater organization predicted lower days. Perceived family environments characterized by less emphasis on organization and independence and higher levels of conflict may place patients at risk for increased hospital utilization following kidney transplantation.

Original languageEnglish
Pages (from-to)272-286
Number of pages15
JournalDialysis and Transplantation
Volume28
Issue number5
StatePublished - May 1 1999

Fingerprint

Kidney Transplantation
Transplants
Organizations
Demography
Hospital Charges
Family Conflict
Inpatients
Regression Analysis
Depression
Kidney

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

Cite this

Perceived family environment predicts hospital utilization following kidney transplantation. / Yount, Susan E.; Brickman, Andrew L.; Ironson, Gail; Morgan, Robert O.

In: Dialysis and Transplantation, Vol. 28, No. 5, 01.05.1999, p. 272-286.

Research output: Contribution to journalArticle

Yount, Susan E. ; Brickman, Andrew L. ; Ironson, Gail ; Morgan, Robert O. / Perceived family environment predicts hospital utilization following kidney transplantation. In: Dialysis and Transplantation. 1999 ; Vol. 28, No. 5. pp. 272-286.
@article{9157ba216766439e9d092637960806bf,
title = "Perceived family environment predicts hospital utilization following kidney transplantation",
abstract = "The purpose of this study was to investigate the relationships between pre-transplant psychosocial variables and hospital utilization following kidney transplantation. The subjects were 137 kidney transplant recipients who had retained a functioning graft for 1 year or more. Dependent variables included inpatient hospital charges ('charges') and the average number of hospital days per admission ('days') during the first year post-transplant. Independent measures collected pre-transplant included demographic and medical variables, depression, and perceived family environment. Stepwise multiple regression analyses determined significant predictor variables within demographic, medical, and family environment domains that ultimately served as predictors in the final hierarchical regression models. Findings revealed that greater perceived independence and organization in the family environment predicted lower charges; lower perceived family cohesion and conflict and greater organization predicted lower days. Perceived family environments characterized by less emphasis on organization and independence and higher levels of conflict may place patients at risk for increased hospital utilization following kidney transplantation.",
author = "Yount, {Susan E.} and Brickman, {Andrew L.} and Gail Ironson and Morgan, {Robert O.}",
year = "1999",
month = "5",
day = "1",
language = "English",
volume = "28",
pages = "272--286",
journal = "Dialysis and Transplantation",
issn = "0090-2934",
publisher = "John Wiley and Sons Inc.",
number = "5",

}

TY - JOUR

T1 - Perceived family environment predicts hospital utilization following kidney transplantation

AU - Yount, Susan E.

AU - Brickman, Andrew L.

AU - Ironson, Gail

AU - Morgan, Robert O.

PY - 1999/5/1

Y1 - 1999/5/1

N2 - The purpose of this study was to investigate the relationships between pre-transplant psychosocial variables and hospital utilization following kidney transplantation. The subjects were 137 kidney transplant recipients who had retained a functioning graft for 1 year or more. Dependent variables included inpatient hospital charges ('charges') and the average number of hospital days per admission ('days') during the first year post-transplant. Independent measures collected pre-transplant included demographic and medical variables, depression, and perceived family environment. Stepwise multiple regression analyses determined significant predictor variables within demographic, medical, and family environment domains that ultimately served as predictors in the final hierarchical regression models. Findings revealed that greater perceived independence and organization in the family environment predicted lower charges; lower perceived family cohesion and conflict and greater organization predicted lower days. Perceived family environments characterized by less emphasis on organization and independence and higher levels of conflict may place patients at risk for increased hospital utilization following kidney transplantation.

AB - The purpose of this study was to investigate the relationships between pre-transplant psychosocial variables and hospital utilization following kidney transplantation. The subjects were 137 kidney transplant recipients who had retained a functioning graft for 1 year or more. Dependent variables included inpatient hospital charges ('charges') and the average number of hospital days per admission ('days') during the first year post-transplant. Independent measures collected pre-transplant included demographic and medical variables, depression, and perceived family environment. Stepwise multiple regression analyses determined significant predictor variables within demographic, medical, and family environment domains that ultimately served as predictors in the final hierarchical regression models. Findings revealed that greater perceived independence and organization in the family environment predicted lower charges; lower perceived family cohesion and conflict and greater organization predicted lower days. Perceived family environments characterized by less emphasis on organization and independence and higher levels of conflict may place patients at risk for increased hospital utilization following kidney transplantation.

UR - http://www.scopus.com/inward/record.url?scp=0032960628&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032960628&partnerID=8YFLogxK

M3 - Article

VL - 28

SP - 272

EP - 286

JO - Dialysis and Transplantation

JF - Dialysis and Transplantation

SN - 0090-2934

IS - 5

ER -