메뉴 건너뛰기




Volumn 8, Issue 8, 2013, Pages 472-477

A primary care physician's ideal transitions of care-where's the evidence?

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; ARTICLE; CURRENT PROCEDURAL TERMINOLOGY; EMERGENCY WARD; EVIDENCE BASED MEDICINE; FOLLOW UP; GENERAL PRACTITIONER; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH PROGRAM; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITAL PERSONNEL; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; OUTPATIENT CARE; PHARMACY; PRESCRIPTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; REIMBURSEMENT; RISK REDUCTION; SELF CARE; TELEPHONE;

EID: 84881557953     PISSN: 15535592     EISSN: 15535606     Source Type: Journal    
DOI: 10.1002/jhm.2060     Document Type: Article
Times cited : (21)

References (49)
  • 1
    • 84881546530 scopus 로고    scopus 로고
    • Reducing hospital readmissions: lessons from top-performing hospitals. The Commonwealth Fund Synthesis Report. April. Accessed January 30, 2013
    • Silow-Carroll S, Edwards JN, Lashbrook A. Reducing hospital readmissions: lessons from top-performing hospitals. The Commonwealth Fund Synthesis Report. April 2011. Available at: http://www.commonwealthfund.org/Publications/Case-Studies/2011/Apr/Reducing-Hospital-Readmissions.aspx. Accessed January 30, 2013.
    • (2011)
    • Silow-Carroll, S.1    Edwards, J.N.2    Lashbrook, A.3
  • 3
    • 84881553455 scopus 로고    scopus 로고
    • Society of Hospital Medicine. Project BOOST. Accessed January 30.
    • Society of Hospital Medicine. Project BOOST. Available at: www.hospitalmedicine.org/BOOST/. Accessed January 30, 2013.
    • (2013)
  • 4
    • 84881550454 scopus 로고    scopus 로고
    • American Association of Medical Colleges. HOMERUN Executive Summary. Accessed January 30
    • American Association of Medical Colleges. HOMERUN Executive Summary. Available at: https://members.aamc.org/eweb/upload/HOMERUN%20summary%202012.pdf. Accessed January 30, 2013.
    • (2013)
  • 6
    • 84864716446 scopus 로고    scopus 로고
    • Contemporary evidence about hospital strategies for reducing 30-day readmissions
    • Bradley EH, Curry L, Horwitz LI, et al. Contemporary evidence about hospital strategies for reducing 30-day readmissions. J Am Coll Cardiol. 2012;60:607-614.
    • (2012) J Am Coll Cardiol. , vol.60 , pp. 607-614
    • Bradley, E.H.1    Curry, L.2    Horwitz, L.I.3
  • 7
    • 84868335014 scopus 로고    scopus 로고
    • Improving patient handovers from hospital to primary care: a systematic review
    • Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2012;157:417-428.
    • (2012) Ann Intern Med. , vol.157 , pp. 417-428
    • Hesselink, G.1    Schoonhoven, L.2    Barach, P.3
  • 8
    • 54349128373 scopus 로고    scopus 로고
    • Hospitalists and care transitions: the divorce of inpatient and outpatient care
    • Pham HH, Grossman JM, Cohen G, Bodenheimer T. Hospitalists and care transitions: the divorce of inpatient and outpatient care. Health Aff. 2008;27:1315-1327.
    • (2008) Health Aff. , vol.27 , pp. 1315-1327
    • Pham, H.H.1    Grossman, J.M.2    Cohen, G.3    Bodenheimer, T.4
  • 9
    • 84872811986 scopus 로고    scopus 로고
    • Recasting readmissions by placing the hospital role in community context
    • McCarthy D, Johnson MB, Audet A. Recasting readmissions by placing the hospital role in community context. JAMA. 2013;309:351-352.
    • (2013) JAMA. , vol.309 , pp. 351-352
    • McCarthy, D.1    Johnson, M.B.2    Audet, A.3
  • 10
    • 35649018221 scopus 로고    scopus 로고
    • Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists
    • Kripalani S, Jackson AT, Schnipper JL, Coleman EA. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. 2007;2:314-323.
    • (2007) J Hosp Med. , vol.2 , pp. 314-323
    • Kripalani, S.1    Jackson, A.T.2    Schnipper, J.L.3    Coleman, E.A.4
  • 11
    • 33846937348 scopus 로고    scopus 로고
    • Transition of care for hospitalized elderly patients-development of a discharge checklist for hospitalists
    • Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients-development of a discharge checklist for hospitalists. J Hosp Med. 2006;1:354-360.
    • (2006) J Hosp Med. , vol.1 , pp. 354-360
    • Halasyamani, L.1    Kripalani, S.2    Coleman, E.3
  • 12
    • 77956732586 scopus 로고    scopus 로고
    • Transitioning the patient with acute coronary syndrome from inpatient to primary care
    • Villanueva T. Transitioning the patient with acute coronary syndrome from inpatient to primary care. J Hosp Med. 2010;5(suppl):S8-S14.
    • (2010) J Hosp Med , vol.5 , Issue.SUPPL
    • Villanueva, T.1
  • 13
    • 42749105095 scopus 로고    scopus 로고
    • Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home
    • Mistiaen P, Poot E. Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home. Cochrane Database Syst Rev. 2006;(4):CD004510.
    • (2006) Cochrane Database Syst Rev , Issue.4
    • Mistiaen, P.1    Poot, E.2
  • 14
    • 84856660572 scopus 로고    scopus 로고
    • Post-discharge intervention in vulnerable, chronically ill patients
    • Kansagara D, Ramsay RS, Labby D, Saha S. Post-discharge intervention in vulnerable, chronically ill patients. J Hosp Med. 2012;7:124-130.
    • (2012) J Hosp Med. , vol.7 , pp. 124-130
    • Kansagara, D.1    Ramsay, R.S.2    Labby, D.3    Saha, S.4
  • 15
    • 84871893118 scopus 로고    scopus 로고
    • Low-cost transitional care with nurse managers making mostly phone contact with patients cut rehospitalization at a VA hospital
    • Kind AJ, Jensen L, Barczi S, et al. Low-cost transitional care with nurse managers making mostly phone contact with patients cut rehospitalization at a VA hospital. Health Aff. 2012;31:2659-2668.
    • (2012) Health Aff. , vol.31 , pp. 2659-2668
    • Kind, A.J.1    Jensen, L.2    Barczi, S.3
  • 16
    • 49649106055 scopus 로고    scopus 로고
    • Redefining and redesigning hospital discharge to enhance patient care: a randomized control study
    • Balaban RB, Weissman JS, Samuel PA, Woolhandler S. Redefining and redesigning hospital discharge to enhance patient care: a randomized control study. J Gen Intern Med. 2008;23:1228-1233.
    • (2008) J Gen Intern Med. , vol.23 , pp. 1228-1233
    • Balaban, R.B.1    Weissman, J.S.2    Samuel, P.A.3    Woolhandler, S.4
  • 17
    • 84872237607 scopus 로고    scopus 로고
    • How Geisinger's advanced medical home model argues the case for rapid-cycle innovation
    • Steele GD, Haynes JA, Davis DE, et al. How Geisinger's advanced medical home model argues the case for rapid-cycle innovation. Health Aff. 2010;29:2047-2053. .
    • (2010) Health Aff. , vol.29 , pp. 2047-2053
    • Steele, G.D.1    Haynes, J.A.2    Davis, D.E.3
  • 18
    • 84865697763 scopus 로고    scopus 로고
    • Telephone follow-up as a primary care intervention for postdischarge outcomes improvement: a systematic review
    • Crocker B, Crocker JT, Greenwald JL. Telephone follow-up as a primary care intervention for postdischarge outcomes improvement: a systematic review. Am J Med. 2012;125:915-921.
    • (2012) Am J Med. , vol.125 , pp. 915-921
    • Crocker, B.1    Crocker, J.T.2    Greenwald, J.L.3
  • 20
    • 84872339146 scopus 로고    scopus 로고
    • Prioritized post-discharge telephonic outreach reduces hospital readmissions for select high-risk patients
    • Melton LD, Foreman C, Scott E, McGinnis M, Cousins M. Prioritized post-discharge telephonic outreach reduces hospital readmissions for select high-risk patients. Am J Manag Care. 2012;18:838-844.
    • (2012) Am J Manag Care. , vol.18 , pp. 838-844
    • Melton, L.D.1    Foreman, C.2    Scott, E.3    McGinnis, M.4    Cousins, M.5
  • 21
    • 80052073777 scopus 로고    scopus 로고
    • Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases
    • Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. JAMA. 2011;306:840-847.
    • (2011) JAMA. , vol.306 , pp. 840-847
    • Bell, C.M.1    Brener, S.S.2    Gunraj, N.3
  • 22
    • 84863644239 scopus 로고    scopus 로고
    • Effect of a pharmacist intervention on clinically important medication errors after hospital discharge
    • Kripalani S, Roumie CL, Dalal AK, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge. Ann Intern Med. 2012;157:1-10.
    • (2012) Ann Intern Med. , vol.157 , pp. 1-10
    • Kripalani, S.1    Roumie, C.L.2    Dalal, A.K.3
  • 23
    • 84856730954 scopus 로고    scopus 로고
    • Relationship of health literacy to intentional and unintentional non-adherence of hospital discharge medications
    • Lindquist LA, Go L, Fleisher J, Jain N, Friesema E, Baker DW. Relationship of health literacy to intentional and unintentional non-adherence of hospital discharge medications. J Gen Intern Med. 2012;27:173-178.
    • (2012) J Gen Intern Med. , vol.27 , pp. 173-178
    • Lindquist, L.A.1    Go, L.2    Fleisher, J.3    Jain, N.4    Friesema, E.5    Baker, D.W.6
  • 24
    • 84861974395 scopus 로고    scopus 로고
    • Patient experiences of transitioning from hospital to home: an ethnographic quality improvement project
    • Cain CH, Neuwirth E, Bellows J, Zuber C, Green J. Patient experiences of transitioning from hospital to home: an ethnographic quality improvement project. J Hosp Med. 2012;7:382-387.
    • (2012) J Hosp Med. , vol.7 , pp. 382-387
    • Cain, C.H.1    Neuwirth, E.2    Bellows, J.3    Zuber, C.4    Green, J.5
  • 25
    • 84881548522 scopus 로고    scopus 로고
    • Medicare finalizes physician pay for new care coordination benefit. American Medical News. November 12. Accessed February 8, 2013.
    • Fiegl C. Medicare finalizes physician pay for new care coordination benefit. American Medical News. November 12, 2012. Available at: http://www.ama-assn.org/amednews/2012/11/12/gvl11112.htm. Accessed February 8, 2013.
    • (2012)
    • Fiegl, C.1
  • 26
    • 77957932713 scopus 로고    scopus 로고
    • Outpatient follow-up visit and 30-day emergency department visit and readmission in patients hospitalized for chronic obstructive pulmonary disease
    • Sharma G, Kuo YF, Freeman JL, Zhang DD, Goodwin JS. Outpatient follow-up visit and 30-day emergency department visit and readmission in patients hospitalized for chronic obstructive pulmonary disease. Arch Intern Med. 2010;170:1664-1670.
    • (2010) Arch Intern Med. , vol.170 , pp. 1664-1670
    • Sharma, G.1    Kuo, Y.F.2    Freeman, J.L.3    Zhang, D.D.4    Goodwin, J.S.5
  • 27
    • 77956631044 scopus 로고    scopus 로고
    • Post-hospitalization transitions: examining the effects of timing of primary care provider follow-up
    • Misky GJ, Wald HL, Coleman EA. Post-hospitalization transitions: examining the effects of timing of primary care provider follow-up. J Hosp Med. 2010;5:392-397.
    • (2010) J Hosp Med. , vol.5 , pp. 392-397
    • Misky, G.J.1    Wald, H.L.2    Coleman, E.A.3
  • 28
    • 77951894040 scopus 로고    scopus 로고
    • Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure
    • Hernandez AF, Greiner MA, Fonarow GC, et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA. 2010;303:1716-1722.
    • (2010) JAMA. , vol.303 , pp. 1716-1722
    • Hernandez, A.F.1    Greiner, M.A.2    Fonarow, G.C.3
  • 29
    • 0033935219 scopus 로고    scopus 로고
    • Effects of discharge planning and compliance with outpatient appointments on readmission rates
    • Nelson EA, Maruish ME, Axler JI. Effects of discharge planning and compliance with outpatient appointments on readmission rates. Psychiatr Serv. 2000;51:885-889.
    • (2000) Psychiatr Serv. , vol.51 , pp. 885-889
    • Nelson, E.A.1    Maruish, M.E.2    Axler, J.I.3
  • 31
    • 84881541363 scopus 로고    scopus 로고
    • Project BOOST. Tool for addressing risk: a geriatric evaluation for transitions. Accessed February 3
    • Project BOOST. Tool for addressing risk: a geriatric evaluation for transitions. Available at: http://www.hospitalmedicine.org/ResourceRoomRedesign/RR_CareTransitions/PDFs/TARGET.pdf. Accessed February 3, 2013.
    • (2013)
  • 33
    • 77958110637 scopus 로고    scopus 로고
    • Primary care: current problems and proposed solutions
    • Bodenheimer T, Pham HH. Primary care: current problems and proposed solutions. Health Aff. 2010;29:799-805.
    • (2010) Health Aff. , vol.29 , pp. 799-805
    • Bodenheimer, T.1    Pham, H.H.2
  • 34
    • 84881547489 scopus 로고    scopus 로고
    • Center for Medicare and Medicaid Innovation. Community-based Care Transitions Program. Accessed February 8
    • Center for Medicare and Medicaid Innovation. Community-based Care Transitions Program. Available at: http://innovation.cms.gov/initiatives/CCTP/#collapse-tableDetails. Accessed February 8, 2013.
    • (2013)
  • 35
    • 79960957294 scopus 로고    scopus 로고
    • Advanced access scheduling outcomes: a systematic review
    • Rose KD, Ross JS, Horwitz LI. Advanced access scheduling outcomes: a systematic review. Arch Intern Med. 2011;171:1150-1159.
    • (2011) Arch Intern Med. , vol.171 , pp. 1150-1159
    • Rose, K.D.1    Ross, J.S.2    Horwitz, L.I.3
  • 37
    • 84921702909 scopus 로고    scopus 로고
    • Audit and feedback: effects on professional practice and healthcare outcomes
    • Ivers N, Jamtvedt G, Flottorp S, et al. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012;(6):CD000259.
    • (2012) Cochrane Database Syst Rev , Issue.6
    • Ivers, N.1    Jamtvedt, G.2    Flottorp, S.3
  • 38
    • 84881555084 scopus 로고    scopus 로고
    • Agency for Healthcare Research and Quality. Policy Innovation Profile. Insurer provides financial incentives, infrastructure, and other support to stimulate provider participation in quality improvement collaborations. June 6. Accessed February 8, 2013.
    • Agency for Healthcare Research and Quality. Policy Innovation Profile. Insurer provides financial incentives, infrastructure, and other support to stimulate provider participation in quality improvement collaborations. June 6, 2012. Available at: http://www.innovations.ahrq.gov/content.aspx?id=3641. Accessed February 8, 2013.
    • (2012)
  • 39
    • 79951641670 scopus 로고    scopus 로고
    • Private-payer innovation in Massachusetts: The "Alternative Quality Contract."
    • Chernew ME, Mechanic RE, Landon BE, Safran DG. Private-payer innovation in Massachusetts: The "Alternative Quality Contract." Health Aff. 2011;30:51-61.
    • (2011) Health Aff. , vol.30 , pp. 51-61
    • Chernew, M.E.1    Mechanic, R.E.2    Landon, B.E.3    Safran, D.G.4
  • 41
    • 84881551416 scopus 로고    scopus 로고
    • Agency for Healthcare Research and Quality. Policy Innovation Profile. Medical center establishes infrastructure to manage care under capitated contracts, leading to better chronic care management and lower utilization and costs. October 3. Available at: Accessed February 8, 2013.
    • Agency for Healthcare Research and Quality. Policy Innovation Profile. Medical center establishes infrastructure to manage care under capitated contracts, leading to better chronic care management and lower utilization and costs. October 3, 2012. Available at: http://www.innovations.ahrq.gov/content.aspx?id=3651. Accessed February 8, 2013.
    • (2012)
  • 42
    • 80054764509 scopus 로고    scopus 로고
    • Risk prediction models for hospital readmission: a systematic review
    • Kansagara D, Englander H, Salanitro A, et al. Risk prediction models for hospital readmission: a systematic review. JAMA. 2011;306:1688-1698.
    • (2011) JAMA. , vol.306 , pp. 1688-1698
    • Kansagara, D.1    Englander, H.2    Salanitro, A.3
  • 43
    • 84881544223 scopus 로고    scopus 로고
    • Centers for Medicare and Medicaid Services. More doctors, hospitals partner to coordinate care for people with Medicare: providers form 106 new accountable care organizations. Press release January 10
    • Centers for Medicare and Medicaid Services. More doctors, hospitals partner to coordinate care for people with Medicare: providers form 106 new accountable care organizations. Press release January 10, 2013. Available at: http://www.cms.gov/apps/media/press/release.asp?Counter=4501&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=& pYear=&year=&desc=&cboOrder=date. Accessed February 8, 2013.
    • (2013)
  • 44
    • 33847370278 scopus 로고    scopus 로고
    • Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care
    • Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA. 2007;297:831-841.
    • (2007) JAMA. , vol.297 , pp. 831-841
    • Kripalani, S.1    LeFevre, F.2    Phillips, C.O.3    Williams, M.V.4    Basaviah, P.5    Baker, D.W.6
  • 45
    • 77950344588 scopus 로고    scopus 로고
    • Transitions of care consensus policy statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine
    • Snow V, Beck D, Budnitz T, et al. Transitions of care consensus policy statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. J Gen Intern Med. 2009;24:971-976.
    • (2009) J Gen Intern Med. , vol.24 , pp. 971-976
    • Snow, V.1    Beck, D.2    Budnitz, T.3
  • 46
    • 22244479675 scopus 로고    scopus 로고
    • Patient safety concerns arising from test results that return after hospital discharge
    • Roy CL, Poon EG, Karson AS, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128.
    • (2005) Ann Intern Med , vol.143 , Issue.2 , pp. 121-128
    • Roy, C.L.1    Poon, E.G.2    Karson, A.S.3
  • 47
    • 34347272253 scopus 로고    scopus 로고
    • Tying up loose ends: discharging patients with unresolved medical issues
    • Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167:1305-1311.
    • (2007) Arch Intern Med. , vol.167 , pp. 1305-1311
    • Moore, C.1    McGinn, T.2    Halm, E.3
  • 48
  • 49
    • 23244462964 scopus 로고    scopus 로고
    • Patients' understanding of their treatment plans and diagnosis at discharge
    • Makaryus AN, Friedman EA. Patients' understanding of their treatment plans and diagnosis at discharge. Mayo Clin Proc. 2005;80:991-994.
    • (2005) Mayo Clin Proc. , vol.80 , pp. 991-994
    • Makaryus, A.N.1    Friedman, E.A.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.