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Journal of General Internal Medicine

, Volume 34, Issue 12, pp 2894–2897 | Cite as

Primary Care: the New Frontier for Reducing Readmissions

  • Sonali SalujaEmail author
  • Michael Hochman
  • Angel Bourgoin
  • James Maxwell
Perspective

Abstract

To date, efforts to reduce hospital readmissions have centered largely on hospitals. In a recently published environmental scan, we examined the literature focusing on primary care–based efforts to reduce readmissions. While rigorous studies on interventions arising from primary care are limited, we found that multi-component care transitions programs that are initiated early in the hospitalization and are part of broader primary care practice transformation appear most promising. However, policy changes are necessary to spur innovation and support effective primary care–led transitions interventions. Though more rigorous research is needed, our findings suggest that primary care can and should lead future efforts for reducing hospital readmissions.

KEY WORDS

primary care health care delivery primary care redesign 

Notes

Funding Information

The Environmental Scan was funded under a contract, “The Re-engineered Visit for Primary Care (AHRQ REV),” contract number HHSP233201500019I/HHSP23337002T from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (HHS).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

Disclaimer

The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this document should be construed as an official position of AHRQ or HHS.

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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Sonali Saluja
    • 1
    Email author
  • Michael Hochman
    • 1
  • Angel Bourgoin
    • 2
  • James Maxwell
    • 2
  1. 1.The Gehr Family Center for Health Systems Science & Innovation Keck Medicine of USCLos AngelesUSA
  2. 2.John Snow, Inc.BostonUSA

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