PMID: 3772579Mar 1, 1986Paper

Continuity of care after July: what happens to the resident's patients?

Journal of General Internal Medicine
S M RetchinC Blish

Abstract

When internal medicine residents leave teaching programs, continuity of care for outpatients is affected. The authors had departing residents send their patients computer-generated letters identifying another physician to provide continuing care. The letters were randomly withheld from 20% of the patients (NL), and they were compared with patients who received letters (RL). A telephone survey was administered and visits and no-show rates were determined. The RL patients more often knew of the change in provider (84% vs 54%, p less than 0.01) and identified the resident as the source of the information (77% vs 43%, p less than 0.01) than NL patients. There were no significant differences between RL and NL patients in mean numbers of appointments (1.0 vs 0.8) or no-show rates (24% vs 21%) following housestaff turnover. Both groups wanted to be told by the physician about future changes and were willing to be informed by letter. A computer-generated letter appears to be an effective way of notifying patients about transfer of care during the annual housestaff turnover in teaching programs.

References

Nov 1, 1977·American Journal of Public Health·P Hertz, P L Stamps
Jul 1, 1976·Medical Care·B H StarfieldS A Yourtee
Feb 1, 1983·Medical Care·R H FletcherJ Taylor
Jun 1, 1982·Annals of Internal Medicine·P R Lichstein

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Citations

Sep 1, 1986·Journal of General Internal Medicine
Jun 1, 1989·QRB. Quality Review Bulletin·G L Weiss, C A Ramsey

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