作者: Janet D. Record , Ashwini Niranjan-Azadi , Colleen Christmas , Laura A. Hanyok , Cynthia S. Rand
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摘要: Background : Teaching interns patient-centered communication skills, including making structured telephone calls to patients following discharge, may improve transitions of care. Objective To explore associations between a care (PCC) curriculum and patients’ perspectives the quality transitional Methods We implemented novel PCC on one four inpatient general medicine resident teaching teams in which make post-discharge patients, contact outpatient providers, perform medication adherence reviews, engage discharge planning. Between July November 2011, we conducted surveys from all within 30 days discharge. In addition asking if received call their hospital physician (intern), administered 3-Item Care Transitions Measure (CTM-3), assesses perceptions preparedness for transition home (possible score range 0–100). Results The CTM-3 scores (mean±SD) team standard were not significantly different (82.4±17.3 vs. 79.6±17.6, p =0.53). However, regardless assignment, who reported receiving had higher than those did (84.7±16.0 78.2±17.4, =0.03). Interns exposed called after more often never (OR=2.78, 95% CI [1.25, 6.18], =0.013). Conclusions call, element PCC, was associated with – which, turn, have been shown lessen risk emergency department visits Keywords: care; graduate medical education; call; (Published: 29 April 2015) Citation: Med Educ Online 2015, 20: 26701 - http://dx.doi.org/10.3402/meo.v20.26701