Question special

Much of the forum has focused on inpatient care being improved by the consultation of the PCP, is the reverse true? Will outpatient care be improved by improving the communication streams between hospitalists and PCP? One marker of improved outpatient care and coordination could arguably be readmission rates. It is possible that some of the current incentives to reduce readmissions could be used to fund this proposed effort to improve communication between hospitalist and PCP. Interestingly a study in 1996 by Weinberger et al ( looked at improving PCP access for vets by having PCPs meet patients without established primary care while they were inpatient. However, this resulted in increased hospital utilization. This looked at establishing care while a patient was admitted. Would having patients with established primary care create a different outcome? Has this been looked at before?