Vashi et al determine the degree to which emergency department (ED) visits and hospital readmissions contribute to overall use of acute care services within 30 days of discharge from acute care hospitals, describe the reasons patients return for ED visits, and describe these patterns among Medicare beneficiaries and those not covered by Medicare insurance. Results show that after discharge from acute care hospitals in 3 states, ED visits within 30 days were common among adults and accounted for 39.8% of postdischarge hospital-based acute care visits. Improving care transitions should focus not only on decreasing readmissions but also on ED visits.
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