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Care transitions

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Health Leaders Join Forces to Tackle National Problem of Hospital Readmissions

January 31, 2013 | News Release

Care About Your Care is a national conversation highlighting efforts to improve care transitions, reduce hospital readmissions, and lift overall quality of care.

Readmission Rates Tell Only Part of the Story

January 22, 2013 | Story

Study by RWJF Clinical Scholars finds many patients visit emergency departments after discharge, revealing possible flaw in the way new federal incentive programs assess hospital care.

Nurse Identified Hospital to Home Medication Discrepancies

May 1, 2010 | Journal Article

In this study, nurse interventionists identified and documented medication discrepancies from two Inland Northwest hospitals. The researchers identified more system-level discrepancies than patient-level ones.

Physician Views on Barriers to Primary Care for Young Adults With Childhood-Onset Chronic Disease

April 1, 2010 | Journal Article

General pediatricians and internists report multiple barriers to providing primary care to adults with childhood-onset chronic disease. Most believe it would be difficult for these patients to find an adult-focused provider to care for their needs.

Palliative Care in Long-Term Care

February 1, 2010 | Journal Article

Academic and medical professionals discuss the transition from palliative care in hospitals to nursing homes.

Human Capital News Roundup: The nurse faculty shortage, discharging homeless patients, “diaper deserts,” and more.

November 23, 2012 | Human Capital Blog Post

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of RWJF leaders, scholars, fellows and grantees.

Human Capital News Roundup: Care transitions, "chemobrain," medical research funding, and more.

October 4, 2012 | Human Capital Blog Post

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of RWJF leaders, scholars, fellows and grantees.

Survivorship Beyond Convalescence

June 16, 2009 | Journal Article

This brief reports on a study that extends previous analysis of the effects of prostate cancer treatments. Researchers compared prostatectomy, radiation, and brachytherapy and outcomes for urinary, sexual, and bowel function, and basic physical and mental function over 48 months.

Transition Planning for Youth with Special Health Care Needs

June 6, 2005 | Journal Article

Children with special health care needs are dependent on uninterrupted medical care for their health and well-being. Almost 13 percent of children in the U.S. are classified as such and they account for a disproportionate share of health care expend ...

Access to Care for Youth with Special Health Care Needs in the Transition to Adulthood

July 1, 2008 | Journal Article

Youth with special needs face numerous issues when transitioning to the adult health system. A survey of 77 youth showed that too many lacked a usual source of care, and were either uninsured or had experienced an insurance gap.

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