Effect of Video Call Follow-up at Chulabhorn Hospital on Readmission Rates in Metastatic Cancer Patients after Palliative Care
19
Issued Date
2026-03-01
Resource Type
ISSN
01252208
eISSN
24081981
Scopus ID
2-s2.0-105033474662
Journal Title
Journal of the Medical Association of Thailand
Volume
109
Issue
3
Start Page
208
End Page
217
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand Vol.109 No.3 (2026) , 208-217
Suggested Citation
Molek R., Limpawittayakul P., Kosarussawadee P., Kriangsamut S., Kaewchuchuen J., Vichitvejpaisal P. Effect of Video Call Follow-up at Chulabhorn Hospital on Readmission Rates in Metastatic Cancer Patients after Palliative Care. Journal of the Medical Association of Thailand Vol.109 No.3 (2026) , 208-217. 217. doi:10.35755/jmedassocthai.2026.3.03341 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/115921
Title
Effect of Video Call Follow-up at Chulabhorn Hospital on Readmission Rates in Metastatic Cancer Patients after Palliative Care
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Metastatic cancer patients often require palliative care to alleviate symptoms and preserve quality of life. Nevertheless, unplanned hospital readmissions remain a significant concern, suggesting potential gaps in continuity of care and post-discharge support. Objective: To evaluate the effectiveness of video call follow-up using the Chulabhorn Assessment Form in enhancing patient self-care and reducing unplanned hospital readmissions among metastatic cancer patients after palliative care. Materials and Methods: A descriptive, prospective cohort study was conducted at Chulabhorn Hospital between July 2023 and January 2024. One hundred eighty metastatic cancer patients were enrolled. Video call follow-ups were conducted on days one, seven, and twenty-eight post-discharge to provide emotional support, assess symptoms, and encourage self-care. Variables such as distress scores and previous unplanned readmissions were analyzed using logistic regression. Results: Patients with a history of unplanned readmissions were significantly more likely to be readmitted within 28 days, even with video call follow-up (adjusted OR 11.13, 95% CI 4.38 to 28.27, p<0.001). High distress scores, of 4 or greater, were also strongly associated with increased readmission risk (p<0.001). While video calls enabled nurses to assess patients' home environments and provide timely advice, certain high-risk patients remained vulnerable to readmission. Conclusion: Video call follow-up using the Chulabhorn Assessment Form provides valuable insights into patients' needs and supports self-care. However, it alone is insufficient to prevent hospital readmissions in all cases. Targeted interventions for high-risk patients are essential. Nurses play a crucial role in identifying these patients and delivering individualized post-discharge care.