If you want to encourage referrals from hospital sources, you can use a new study to do so. “When patients who have been discharged from inpatient care refuse home health care services, they may experience higher rates of readmission to the hospital and a lower quality of life,” found a report from the United Hospital Fund and the Alliance for Home Health Quality and Innovation. For 28 percent of 495 eligible patients who refused home health care services, they were twice as likely as those who accepted to be readmitted to the hospital within 30 or 60 days, says a study headed by Kathyrn Bowles of the Visiting Nurse Service of New York and the University of Pennsylvania. See the report online at www.uhfnyc.org/publications/881209.