Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs

By E. Coleman. Journal of The American Geriatrics Society, 2003

1,094 citations recorded by the source corpus.

Subfields: Economics and Econometrics, Epidemiology, General Health Professions

View Paper: https://www.semanticscholar.org/paper/9e15fdc68f451a673dd033d25cbb3549538a5935

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Economics and Econometrics

1. R. Berenson
2. E. Coleman

In Epidemiology

1. R. Berenson

In General Health Professions

1. R. Berenson
2. E. Coleman

Citations in the corpus

• Lost in Transition: Challenges and Opportunities for Improving the Quality of Transitional Care (2004, background): “The barriers to improving transitional care are discussed in depth elsewhere (23).”
• Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. (2010, background): “Important elements of transitional care include communication between sending and receiving clinicians, preparation of the patient and caregiver for what to expect at the next site of care, reconciliation of medications, follow-up plans for outstanding tests, and discussions about monitoring signs a”