TY - CHAP M1 - Book, Section TI - Care Transitions into the Hospital: Health Care Centers, Emergency Department, Outside Hospital Transfers A1 - Bonsall, Joanna M. A1 - Higgins, Stacy A1 - Stevens, Melissa B. A2 - McKean, Sylvia C. A2 - Ross, John J. A2 - Dressler, Daniel D. A2 - Scheurer, Danielle B. Y1 - 2017 N1 - T2 - Principles and Practice of Hospital Medicine, 2e AB - For patients being admitted into the hospital, hospital admission may be the first and most significant care transition that they will experience in their medical care. The number of inpatients being cared for by their primary care physicians has decreased significantly in the last several years. In a study reported in JAMA in 2009, outpatient to inpatient continuity with a primary care physician decreased from 44.3% in 1996 to 31.9% in 2006, correlating with the growth of hospital medicine during the same time period. As a result, patients are frequently cared for by physicians who are meeting them for for the first time in the hospital, and who are unfamiliar with their medical history, past hospitalizations, or family and social support network. In addition, due to the “shift” structuring of many hospital medicine groups, patients are likely to be cared for by multiple physicians during a single hospital stay, each one having to learn anew the subtleties of their history. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1137605621 ER -