Key result
Predischarge appointment booking linked to ~114% greater primary care attendance within two weeks.
Why the study?
What factors are associated with primary care appointment attendance after hospital discharge, and does attendance reduce 30-day readmissions?
Population
General medicine patients discharged from hospital between Sept. 1, 2014, and Dec. 30, 2015, from 2 Ontario…
Comparison
Patient and system factors vs Absence of these factors
Design
Cohort
Follow-up
30 days
Authors
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Pre-discharge booking and provider familiarity were associated with timely follow-up; leaves open effects on readmissions and need for trials.
Cohort
Yes
What factors are associated with primary care appointment attendance after hospital discharge, and does attendance reduce 30-day readmissions?
Effect estimate: OR 2.14 (95% CI 1.07-4.40)
Booking appointments before discharge, familiarity with the primary care provider, and clear discharge summaries significantly improve primary care follow-up attendance, though attendance was not significantly associated with reduced 30-day readmissions.
Lam et al. (2018) conducted a cohort in General medicine patients discharged from hospital. Booking the appointment before discharge vs. Not booking before discharge was evaluated on Attendance at a primary care appointment within 2 weeks (OR 2.14, 95% CI 1.07-4.40). Booking the appointment before discharge (OR 2.14; 95% CI 1.07-4.40) and familiarity with the provider (OR 5.43) significantly predicted primary care appointment attendance within 2 weeks.
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