National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Ambulatory Care and Surgery (1)
- Children/Adolescents (1)
- Chronic Conditions (1)
- Emergency Department (1)
- Healthcare Delivery (1)
- Hospital Readmissions (1)
- Hospitals (1)
- Long-Term Care (1)
- Medicare (1)
- Nursing Homes (1)
- (-) Primary Care (5)
- Primary Care: Models of Care (1)
- Quality of Care (1)
- (-) Transitions of Care (5)
- Young Adults (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 5 of 5 Research Studies DisplayedZhang A, Spiegel T, Bundy A
Evaluation of a transitions clinic to bridge emergency department and primary care.
This paper evaluated the outcomes of using a clinical transition clinic (CTC) to bridge emergency department (ED) and primary care. Main outcomes were 30-day ED revisits and hospital readmissions. From March 2021 to March 2022, 373 patients were referred to the CTC totaling 405 appointments, with half (53%) completed with a median follow-up time of 4 days. The most common care types provided were wound care (44%) and clinical problem management (33%). Patients who completed their CTC appointment were 50% less likely to return to the ED in 30 days compared with those who did not complete their appointment. The same effect was not seen for CTC appointment completion on hospital readmission.
AHRQ-funded; HS027804.
Citation: Zhang A, Spiegel T, Bundy A .
Evaluation of a transitions clinic to bridge emergency department and primary care.
J Hosp Med 2023 Mar; 18(3):217-23. doi: 10.1002/jhm.13056..
Keywords: Transitions of Care, Emergency Department, Primary Care
Saluja S, Hochman M, Bourgoin A
Primary care: the new frontier for reducing readmissions.
To date, efforts to reduce hospital readmissions have centered largely on hospitals. In a recently published environmental scan, the investigators examined the literature focusing on primary care-based efforts to reduce readmissions. They found that multi-component care transitions programs that are initiated early in the hospitalization and are part of broader primary care practice transformation appear most promising.
AHRQ-funded; 233201500019I.
Citation: Saluja S, Hochman M, Bourgoin A .
Primary care: the new frontier for reducing readmissions.
J Gen Intern Med 2019 Dec;34(12):2894-97. doi: 10.1007/s11606-019-05428-2.
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Keywords: Primary Care, Hospital Readmissions, Hospitals, Transitions of Care, Primary Care: Models of Care, Healthcare Delivery
Abara NO, Huang N, Raji MA
Effect of retail clinic use on continuity of care among Medicare beneficiaries.
Researchers examined the relationship between retail clinic use and primary care physician (PCP) continuity among Medicare enrollees in the Houston metropolitan area. They found that retail clinic use was lower in the elderly population, compared with the previously published rate in the younger populations. The lower rate of continuity of care observed among retail clinic users was an issue of concern, especially for those with chronic medical conditions.
AHRQ-funded; HS020642.
Citation: Abara NO, Huang N, Raji MA .
Effect of retail clinic use on continuity of care among Medicare beneficiaries.
J Am Board Fam Med 2019 Jul-Aug;32(4):531-38. doi: 10.3122/jabfm.2019.04.180349..
Keywords: Medicare, Transitions of Care, Ambulatory Care and Surgery, Primary Care
Lindquist LA, Miller RK, Saltsman WS
SGIM-AMDA-AGS consensus best practice recommendations for transitioning patients' healthcare from skilled nursing facilities to the community.
The authors assembled a cross-cutting team of experts representing primary care physicians (PCPs), home care physicians, physicians who see patients in skilled nursing facilities (SNF physicians), skilled nursing facility medical directors, human factors engineers, transitional care researchers, geriatricians, internists, family practitioners, and three major organizations: AMDA, SGIM, and AGS. This team identified issues and developed best practices perceived as feasible for SNF physician and PCP practices to accomplish.
AHRQ-funded; HS022916.
Citation: Lindquist LA, Miller RK, Saltsman WS .
SGIM-AMDA-AGS consensus best practice recommendations for transitioning patients' healthcare from skilled nursing facilities to the community.
J Gen Intern Med 2017 Feb;32(2):199-203. doi: 10.1007/s11606-016-3850-8.
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Keywords: Quality of Care, Long-Term Care, Nursing Homes, Primary Care, Transitions of Care
Wisk LE, Finkelstein JA, Sawicki GS
Predictors of timing of transfer from pediatric- to adult-focused primary care.
The researchers examined the timing of transfer to adult-focused primary care providers (PCPs), the time between last pediatric-focused and first adult-focused PCP visits, and the predictors of transfer timing. They found that most youths are transferring care later than recommended and with gaps of more than a year. They further noted that while youths with chronic conditions have shorter gaps, they may need even shorter transfer intervals to ensure continuous access to care.
AHRQ-funded; HS000063; HS020513.
Citation: Wisk LE, Finkelstein JA, Sawicki GS .
Predictors of timing of transfer from pediatric- to adult-focused primary care.
JAMA Pediatr 2015 Jun;169(6):e150951. doi: 10.1001/jamapediatrics.2015.0951.
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Keywords: Children/Adolescents, Chronic Conditions, Primary Care, Transitions of Care, Young Adults