Pediatrician and child

The medical home and hospital readmissions

The medical home and hospital readmissions

Despite the fact that primary care medical homes have received considerable attention, little is known about the degree to which they influence early post-discharge utilization. In this article, Dr. Ryan Coller et al. examined whether patients with medical homes were less likely to have early post-discharge hospital or emergency department encounters. In a prospective cohort study of patients who had an acute hospitalization at a children's hospital, the authors found that more than 65% of patients enrolled in the study did not have a medical home and that patients who had a "usual source of sick and well care" had fewer readmissions than those without. Readmissions were higher among patients who had parents with less confidence in avoiding a readmission, subspecialist primary care providers, longer length of index hospital stay, and more hospitalizations in the last year.

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