Evaluation of a transitions clinic to bridge emergency department and primary care

1Citations
Citations of this article
11Readers
Mendeley users who have this article in their library.

Abstract

Background: Suboptimal transitions from the emergency department (ED) to ambulatory settings contribute to poor clinical outcomes and unnecessary nonurgent ED utilization. Care transition clinics (CTCs) are a potential solution by providing ED follow-up and facilitating the bridge to longer-term primary care. Objective: The objective was to evaluate the implementation of an ED transitions clinic on 30-day ED revisits and hospital readmissions. Designs: Retrospective cross-sectional study. Settings and Participants: This study included adults 18 years and older discharged from the ED and reeferred to the CTC. Main Outcome and Measures: Appointment attendance, follow-up time, and frequencies of care type provided were computed to assess clinic utilization. Rates of 30-day ED revisit and hospital admission were compared between completed and missed appointments using logistic regression. Results: Between March 2021 and March 2022, 373 patients were referred to the CTC totaling 405 appointments. Half (53%) of appointments were completed with a median follow-up time of 4 days (IQR = [2, 7]). The most common care types provided were wound care (44%) and clinical problem management (33%), with wound care appointments more likely to be completed compared with clinical appointments (OR = 1.7, CI = [1.1, 2.8], p =.03). 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 (OR = 0.51, CI = [0.27, 0.98], p

Cite

CITATION STYLE

APA

Zhang, A., Spiegel, T., Bundy, A., Sullivan, K., Green, G., Chia, S., … Press, V. G. (2023). Evaluation of a transitions clinic to bridge emergency department and primary care. Journal of Hospital Medicine, 18(3), 217–223. https://doi.org/10.1002/jhm.13056

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free