Patients from disadvantaged neighborhoods at greater risk for rehospitalization

According to a new article from the Annals of Internal Medicine"Living in a severely disadvantaged neighborhood predicts rehospitalization as powerfully as the presence of illnesses, such as peripheral vascular disease or chronic pulmonary disease, and more powerfully than being on Medicaid or having diabetes".  

In the article Neighborhood Socioeconomic Disadvantage and 30-Day Rehospitalization, socioeconomic disadvantage is measured by the "area deprivation index" (ADI), available from, and only requires a patient's zip code+4 to measure, making it a tool that health systems can use right away.  

While these findings are perhaps not surprising, medical systems often don't know what to do if a patient has socioeconomic disadvantage.  The authors suggest that to improve rehospitalization rates for vulnerable patients, the ADI score is simple, non-intrusive measure that can assist the medical team to provide additional support to those most in need.  

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Comment by Laura Gottlieb on December 18, 2014 at 5:09pm

Great article! Thanks for posting, Linda--


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