title: Managing the transition from the hospital.
authors.forename: Mary D
authors.initials: MD
authors.lastname: Naylor
authors.forename: John
authors.initials: J
authors.lastname: Marcille
mesh_terms: D000368:Aged; D003266:Continuity of Patient Care / Q000458:organization & administration*; D055317:Evidence-Based Practice; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D010351:Patient Discharge; D014481:United States