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The Impact of Hospital Health Network Affiliation on Discharge Communication Preferences of Primary Care Providers.

Abstract

Primary care physicians (PCPs) experience differential postdischarge access to electronic health records, depending upon affiliation with the discharging hospital's health network. To better understand whether this affiliation impacts discharge communication preferences, we surveyed a convenience sample of PCPs in and out of our hospital's health network. We also surveyed hospitalists and compared PCPs' and hospitalists' responses. We found that PCP discharge communication preferences differed by hospital health network affiliation. In addition, PCPs and hospitalists reported different expectations of responsibility for pending laboratory test follow-up. More inclusive communication strategies and standardization of responsibility for pending laboratory results may improve discharge communication quality.

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  • Authors+Show Affiliations

    ,

    Departments of Medicine and Pediatrics (Dr Ming) and Biostatistics and Bioinformatics (Mr Gallis), Duke University Medical Center, Durham, North Carolina; Departments of Pediatrics and Medicine, Medical College of Wisconsin, Milwaukee (Dr Stephany); and University of Washington Department of Medicine, Seattle (Dr Powers); and St. Luke's Health System, Boise, Idaho (Dr Powers).

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    Source

    MeSH

    Electronic Health Records
    Health Services Research
    Hospitalists
    Humans
    Interdisciplinary Communication
    Multi-Institutional Systems
    North Carolina
    Patient Discharge
    Physicians, Primary Care

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    28350636

    Citation

    Ming, David Y., et al. "The Impact of Hospital Health Network Affiliation On Discharge Communication Preferences of Primary Care Providers." The Journal of Ambulatory Care Management, vol. 41, no. 1, 2018, pp. 80-86.
    Ming DY, Stephany AM, Gallis JA, et al. The Impact of Hospital Health Network Affiliation on Discharge Communication Preferences of Primary Care Providers. J Ambul Care Manage. 2018;41(1):80-86.
    Ming, D. Y., Stephany, A. M., Gallis, J. A., & Powers, B. J. (2018). The Impact of Hospital Health Network Affiliation on Discharge Communication Preferences of Primary Care Providers. The Journal of Ambulatory Care Management, 41(1), pp. 80-86. doi:10.1097/JAC.0000000000000197.
    Ming DY, et al. The Impact of Hospital Health Network Affiliation On Discharge Communication Preferences of Primary Care Providers. J Ambul Care Manage. 2018;41(1):80-86. PubMed PMID: 28350636.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The Impact of Hospital Health Network Affiliation on Discharge Communication Preferences of Primary Care Providers. AU - Ming,David Y, AU - Stephany,Alyssa M, AU - Gallis,John A, AU - Powers,Benjamin J, PY - 2017/3/30/pubmed PY - 2018/8/11/medline PY - 2017/3/29/entrez SP - 80 EP - 86 JF - The Journal of ambulatory care management JO - J Ambul Care Manage VL - 41 IS - 1 N2 - Primary care physicians (PCPs) experience differential postdischarge access to electronic health records, depending upon affiliation with the discharging hospital's health network. To better understand whether this affiliation impacts discharge communication preferences, we surveyed a convenience sample of PCPs in and out of our hospital's health network. We also surveyed hospitalists and compared PCPs' and hospitalists' responses. We found that PCP discharge communication preferences differed by hospital health network affiliation. In addition, PCPs and hospitalists reported different expectations of responsibility for pending laboratory test follow-up. More inclusive communication strategies and standardization of responsibility for pending laboratory results may improve discharge communication quality. SN - 1550-3267 UR - https://www.unboundmedicine.com/medline/citation/28350636/The_Impact_of_Hospital_Health_Network_Affiliation_on_Discharge_Communication_Preferences_of_Primary_Care_Providers_ L2 - http://Insights.ovid.com/pubmed?pmid=28350636 DB - PRIME DP - Unbound Medicine ER -