RT Book, Section
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.
SR Print(0)
ID 1137605621
T1 Care Transitions into the Hospital: Health Care Centers, Emergency Department, Outside Hospital Transfers
T2 Principles and Practice of Hospital Medicine, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071843133
LK accessmedicine.mhmedical.com/content.aspx?aid=1137605621
RD 2024/04/16
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.