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Reduction of Readmissions Through Primary Care

JAMA Netw Open; 2019 Jan 25; Wiest, et al

Facilitated connection of patients to primary care within 7 days of hospital discharge is associated with fewer hospital readmissions, a new study found. The cohort study evaluated the outcomes of the 7-Day Pledge program to reduce Medicaid hospital readmissions by increasing access to timing primary care appointments after hospitalization. The primary outcome was the number of hospital discharges followed by a readmission within 30 days. The secondary outcome was the number of hospital discharges followed by a readmission within 90 days. Among the findings:

  • 1,531 hospital discharges among adult Medicaid patients in Camden, NJ were analyzed.
  • The treatment group consisted on 450 discharged patients and the nontreatment group had 1,081 discharged patients.
  • Patients attending a primary care follow-up appointment had fewer 30- and 90-day readmissions compared to those with less timely primary care follow-up or no visit.

Citation:

Wiest D, Yang Q, Wilson C, Dravid N. Outcomes of a citywide campaign to reduce Medicaid hospital readmissions with connection to primary care within 7 days of hospital discharge. JAMA Netw Open.2019;2(1):e187369. doi:10.1001/jamanetworkopen.2018.7369.

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