title: Capsule commentary on Tang et al., Evaluation of a primary care-based post-discharge phone call program: keeping the primary care practice at the center of post-hospitalization care transition.
authors.affiliation: Massachusetts General Hospital and Harvard Medical School, Boston, MA, 02114, USA, jrichter@partners.org.
authors.forename: James M
authors.initials: JM
authors.lastname: Richter
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006801:Humans; D011320:Primary Health Care / Q000458:organization & administration*; D055817:Telenursing / Q000458:organization & administration*; D013689:Telephone