When to repatriate? Clinicians' perspectives on the transfer of patient management from specialty to primary care.

ABSTRACT:

Background

Subspecialty ambulatory care visits have doubled in the past 10 years and nearly half of all visits are for follow-up care. Could some of this care be provided by primary care providers (PCPs)?

Objective

To determine how often PCPs and specialists agree that a mutual patient's condition could be managed exclusively by the PCP, and to understand PCPs' perspectives on factors that influence decisions about 'repatriation,' or the transfer of patient management to primary care.

Design

A mixed method approach including paired surveys of PCPs and specialists about the necessity for ongoing specialty care of mutual patients, and interviews with PCPs about care coordination practices and reasons for differing opinions with specialists.

Participants

One hundr

SUBMITTER: Ackerman SL 

PROVIDER: S-EPMC4175642 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature