• Sonali Saluja, Michael Hochman, Angel Bourgoin, and James Maxwell.
• The Gehr Family Center for Health Systems Science & Innovation, Keck Medicine of USC, 2020 Zonal Avenue, 323 IRD, Los Angeles, CA, 90033, USA. sonali.saluja@med.usc.edu.
• J Gen Intern Med. 2019 Dec 1; 34 (12): 2894-2897.

AbstractTo date, efforts to reduce hospital readmissions have centered largely on hospitals. In a recently published environmental scan, we examined the literature focusing on primary care-based efforts to reduce readmissions. While rigorous studies on interventions arising from primary care are limited, we found that multi-component care transitions programs that are initiated early in the hospitalization and are part of broader primary care practice transformation appear most promising. However, policy changes are necessary to spur innovation and support effective primary care-led transitions interventions. Though more rigorous research is needed, our findings suggest that primary care can and should lead future efforts for reducing hospital readmissions.

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