Agape Physician Care Helping Patients Stay Healthier

Posted by Joe B. Nester on May 22, 2014 at 8:30 PM

Why Having a Good Primary Care Physician Makes Sense.

Most businesses want your frequent return business. Hospitals, however, do not, at least not within 30 days of your discharge.  So, Hospitals across the country and here in South Carolina are scrambling to find ways to decrease readmission rates.  There are now penalties imposed through Medicare that include a reduction in the amount they will pay for hospital services if the patient is readmitted within the first 30 days after discharge.  These reductions could be significant for any hospital that has a high rate of readmissions.


So,what causes discharged patients to have to go back to the hospital?  A study published in the New England Journal of Medicine by Stephen F. Jencks M.D. found that one of the major contributors causing readmissions within that 30 day window was the lack of adequate follow up for the patient with a primary care physician.


The majority of patients discharged from hospitals go back to their homes and depending on the support available in the home and the nature of the illness or injury have varying degrees of success for staying out of the hospital.  The report characterized the patient’s ability to obtain adequate follow up as an area with a lot of opportunity for improvement.  The report summarizes those findings below:


The absence of a bill for an outpatient physician visit in the case of more than half of the patients with a medical condition who were readmitted within 30 days after discharge to the community is of great concern and suggests a considerable opportunity for improvement. Our concern is heightened by the same finding among patients with heart failure, who are known to have a response to intensified care Hospitals and physicians may need to collaborate to improve the promptness and reliability of follow-up care.

New England Journal of Medicine


What does this mean?  It means that many patients who are discharged from the hospital to home either do not have a primary care physician or they fail to follow-up with their primary care physician in the first few days after getting home.  The discharged patient then does not get the adequate follow-up care required and within 30 days experience another acute medical episode which requires a visit to the emergency room and possible readmission to the hospital.  The ER visit and hospital readmission obviously costs more to Medicare then what a follow-up visit to a primary care physician would cost.      


 It is important for your loved one to be seen during the first week after discharge from a post-acute care center or hospital and you should make sure that if the patient is in an assisted living that physician services are provided in the community at least on a weekly basis.


The bottom line seems to be that having a good primary care doctor that can monitor and coordinate your care after an illness or injury is a critical component in staying out of the hospital. The sweet spot in the study indicated that if a person was able to follow up with their physician within seven days from discharge the likelihood of being readmitted decreased drastically.


Categories: Physicians Care, Editor's Choice

Post a Comment


Oops, you forgot something.


The words you entered did not match the given text. Please try again.

Already a member? Sign In


Reply hysoxxrg
5:04 AM on June 29, 2022 
generic stromectol
Reply nbidjewj
7:32 AM on June 27, 2022 
buying stromectol online buy 12mg ivermectin order ivermectin from india
Reply WrfaHicle
1:11 AM on June 27, 2022 
pharmacy online pharmacy com
Reply Messkv
3:54 PM on June 25, 2022 
order imitrex 25mg for sale - imitrex cost purchase imitrex for sale
Reply jfgoqvvu
4:32 AM on June 25, 2022 
stromectol 0.5 mg stromectol 3mg tablets
Reply Uneclug
12:37 AM on June 21, 2022 
Aihsfd Endocrine and Metabolic Diseases l stEPUP to MEDicinE D.
url= says...
Ijiyaz gluco sugar gluconeogenesis Liver cells make new sugar from fats and proteins. Blueforce Viagra Ejrztv Cialis Comparatif Clomid Iojibx - cialis generic best price Erajla
Reply lkbpzkzd
5:53 AM on June 19, 2022 
ivermectin tablets from india price of stromectol absolute accuracy where to buy ivermectina 12mg
Reply hjfqyilx
9:11 AM on June 9, 2022 
modafinil generic
Reply rjschmem
1:18 PM on June 8, 2022 
how Much Is Cialis With Medicare?
Reply Jtbnnuari
12:38 AM on June 8, 2022 
sildenafil pills canada generic viagra india pharmacy
Reply viqrggwf
6:24 AM on June 6, 2022 
where Can You Get Help On Paying For Cialis?
Reply yjwbbbut
8:26 AM on June 2, 2022 
what Insurance Covers Cialis?
Reply jwysjbiy
8:29 PM on May 30, 2022 
provigil pill brand provigil 100mg
Reply remgdufg
11:48 PM on May 29, 2022 
when Does Cialis Become:generic?
Reply preroleq
6:53 AM on May 26, 2022 
order modafinil 100mg pills
Reply EbbeQuodo
11:33 PM on May 20, 2022 
cialis brand no prescription 365 cialis buy australia online
Reply janadl
7:50 PM on May 19, 2022 
janadl 341c3170be

Oops! This site has expired.

If you are the site owner, please renew your premium subscription or contact support.