Information exchange among providers and patient-centeredness in transitional care: A five-year retrospective analysis

Healthcare(2022)

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摘要
•Considerable variation regarding transitional care program design, strategy selection and implementation occurred. Which combinations of TC strategies are most effective at improving patient outcomes remains to be elucidated.•When implemented together, information sharing across settings, engaging patients in education, and/or addressing patient needs were associated with the greatest reduction in readmissions.•Our analysis suggests that hospitals adopted TC groups preferentially based on baseline readmission rates and likelihood of HRRP penalties.
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关键词
Incentives in health care,Medicare,Health care utilization,Health policy/politics/law/regulation,Quality of care/patient safety
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