A retrospective correlational design with existing data was utilized to examine the relationship between early provider follow-up, nursing care coordination intensity, and 30-day hospital readmission in older adults with heart failure and determine if an interaction exists with neighborhood disadvantage. Forward logistic regression was conducted to determine which variables predicted early provider follow-up and readmission. Ordinary least squares regression, logistic regression, and bootstrap confidence intervals were used to test for mediation and moderation. A direct relationship between early provider follow-up and decreased readmission was identified, but no indirect relationship through care coordination intensity. Neighborhood disadvantage did not moderate the effect of provider follow-up on readmission. Early provider follow-up and care coordination intensity were related and moderated by neighborhood disadvantage, but not for those living in highly disadvantaged neighborhoods. Neighborhood disadvantage is a key factor that may negatively influence participation in transitional care interventions in the elderly heart failure population.

使用现有数据的回顾性相关设计来​​检查老年人心力衰竭的早期提供者随访、护理协调强度和 30 天再入院之间的关系，并确定是否存在与邻里不利因素的相互作用。进行正向逻辑回归以确定哪些变量可预测早期提供者的随访和再入院。普通最小二乘回归、逻辑回归和引导置信区间用于检验中介和调节。发现早期提供者随访与减少再入院之间存在直接关系，但通过护理协调强度没有间接关系。邻里劣势并没有缓和提供者随访对再入院的影响。早期提供者的随访和护理协调强度与邻里不利条件相关并受到影响，但与生活在高度不利社区的人无关。邻里不利因素是可能对老年心力衰竭人群参与过渡性护理干预产生负面影响的关键因素。