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Post-Discharge Transitional Care Program and Patient Compliance With Follow-Up Activities

We explore whether the frequency of post-hospital discharge transitional care calls affects patients’ adherence to their discharge plans. We reviewed 1,000 call records of a post-discharge transitional care program run by a large U.S. tertiary care hospital in 2018–2019 and generated binary outcomes...

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Autores principales: Bhandari, Neeraj, Epane, Josue, Reeves, Jerry, Cochran, Christopher, Shen, Jay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9133863/
https://www.ncbi.nlm.nih.gov/pubmed/35647268
http://dx.doi.org/10.1177/23743735221086756
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author Bhandari, Neeraj
Epane, Josue
Reeves, Jerry
Cochran, Christopher
Shen, Jay
author_facet Bhandari, Neeraj
Epane, Josue
Reeves, Jerry
Cochran, Christopher
Shen, Jay
author_sort Bhandari, Neeraj
collection PubMed
description We explore whether the frequency of post-hospital discharge transitional care calls affects patients’ adherence to their discharge plans. We reviewed 1,000 call records of a post-discharge transitional care program run by a large U.S. tertiary care hospital in 2018–2019 and generated binary outcomes capturing patient self-reports of (1) scheduling or completing follow-up appointments, procedures, or prescription fills, (2) missing a scheduled event, and (3) reporting a new adverse clinical event. Our predictor variables captured callers’ success in completing the first and each subsequent call with discharged patients. We ran linear probability models (LPM) for each binary outcome after controlling for sociodemographic and clinical characteristics. Results indicate successful completion of the first two calls was associated with the increased probability of scheduling or completing follow-up appointment (15.5% points, p < 0.01) and follow-up procedure (13.5% points, p < 0.01), and reporting new adverse event (5.9% points, p < 0.05). Our findings suggest that making the first phone call to patients, while crucial, may not be sufficient for effective care transition; making two to three phone calls seems to be more optimal, while further calls may have limited value.
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spelling pubmed-91338632022-05-27 Post-Discharge Transitional Care Program and Patient Compliance With Follow-Up Activities Bhandari, Neeraj Epane, Josue Reeves, Jerry Cochran, Christopher Shen, Jay J Patient Exp Research Article We explore whether the frequency of post-hospital discharge transitional care calls affects patients’ adherence to their discharge plans. We reviewed 1,000 call records of a post-discharge transitional care program run by a large U.S. tertiary care hospital in 2018–2019 and generated binary outcomes capturing patient self-reports of (1) scheduling or completing follow-up appointments, procedures, or prescription fills, (2) missing a scheduled event, and (3) reporting a new adverse clinical event. Our predictor variables captured callers’ success in completing the first and each subsequent call with discharged patients. We ran linear probability models (LPM) for each binary outcome after controlling for sociodemographic and clinical characteristics. Results indicate successful completion of the first two calls was associated with the increased probability of scheduling or completing follow-up appointment (15.5% points, p < 0.01) and follow-up procedure (13.5% points, p < 0.01), and reporting new adverse event (5.9% points, p < 0.05). Our findings suggest that making the first phone call to patients, while crucial, may not be sufficient for effective care transition; making two to three phone calls seems to be more optimal, while further calls may have limited value. SAGE Publications 2022-03-14 /pmc/articles/PMC9133863/ /pubmed/35647268 http://dx.doi.org/10.1177/23743735221086756 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research Article
Bhandari, Neeraj
Epane, Josue
Reeves, Jerry
Cochran, Christopher
Shen, Jay
Post-Discharge Transitional Care Program and Patient Compliance With Follow-Up Activities
title Post-Discharge Transitional Care Program and Patient Compliance With Follow-Up Activities
title_full Post-Discharge Transitional Care Program and Patient Compliance With Follow-Up Activities
title_fullStr Post-Discharge Transitional Care Program and Patient Compliance With Follow-Up Activities
title_full_unstemmed Post-Discharge Transitional Care Program and Patient Compliance With Follow-Up Activities
title_short Post-Discharge Transitional Care Program and Patient Compliance With Follow-Up Activities
title_sort post-discharge transitional care program and patient compliance with follow-up activities
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9133863/
https://www.ncbi.nlm.nih.gov/pubmed/35647268
http://dx.doi.org/10.1177/23743735221086756
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