title: Transition reduced readmission rate for COPD patients.
mesh_terms: D003266:Continuity of Patient Care; D006699:Home Care Services; D006801:Humans; D019982:Organizational Case Studies; D010351:Patient Discharge; D010359:Patient Readmission / Q000639:trends*; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy