![]() ![]() In recently years, numerous studies have been published on transition care from ED to PCP. Nearly one-third of ED patients who do follow up with their primary care physician (PCP) or specialist still have short-term ED returns, and many ED discharged patients may never follow-up with PCP clinics at all. ![]() However, ED discharge failures are frequent. ED discharge failure is defined as patients discharged from ED that either have no primary care physician (PCP) clinic follow-up or that return to the ED inappropriately prior to their clinic visits. Timely post-ED discharge follow-up has been shown to improve patient-centered care for disease prevention, monitoring, and management. Traditional practice recommends arranging timely clinic follow-up for patients who are discharged from the Emergency Department (ED). Such interventions might benefit communities with similar patient populations. Step-wise interventions increased patient clinic follow-up compliance while simultaneously reducing ED discharge failures. Seventy-seven percent of patients with charity insurance and PCP assignments completed post-ED discharge PCP visits in comparison to only 4.5% of those with neither charity insurance nor PCP assignments ( p < 0.001). Fifty-eight percent of patients receiving charity insurance had PCP visits in comparison to 23% of patients without charity insurance ( p < 0.001). ResultĪ total of 227,627 patients were included. PCP clinic compliance and ED discharge failures were measured and compared among groups receiving different interventions. Step-wise interventions included providing charity health insurance, assigning a dedicated PCP, and providing ED follow-up clinics. All patients discharged from the ED over the period through were included in the study population. This is a single-center retrospective observational study. We aim to determine the benefits of providing these common step-wise interventions and further investigate the necessity of urgent PCP referrals on behalf of ED discharged patients. It is critical to understand whether providing health insurance coverage, assigning a dedicated Primary Care Physician (PCP), and arranging timely post-Emergency Department (ED) clinic follow-up can improve compliance with clinic visits and reduce ED discharge failures. ![]()
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