title: The Impact of Hospital Health Network Affiliation on Discharge Communication Preferences of Primary Care Providers.
abstract: Primary care physicians (PCPs) experience differential postdischarge access to electronic health records, depending upon affiliation with the discharging hospital's health network. To better understand whether this affiliation impacts discharge communication preferences, we surveyed a convenience sample of PCPs in and out of our hospital's health network. We also surveyed hospitalists and compared PCPs' and hospitalists' responses. We found that PCP discharge communication preferences differed by hospital health network affiliation. In addition, PCPs and hospitalists reported different expectations of responsibility for pending laboratory test follow-up. More inclusive communication strategies and standardization of responsibility for pending laboratory results may improve discharge communication quality.
authors.affiliation: Departments of Medicine and Pediatrics (Dr Ming) and Biostatistics and Bioinformatics (Mr Gallis), Duke University Medical Center, Durham, North Carolina; Departments of Pediatrics and Medicine, Medical College of Wisconsin, Milwaukee (Dr Stephany); and University of Washington Department of Medicine, Seattle (Dr Powers); and St. Luke's Health System, Boise, Idaho (Dr Powers).
authors.forename: David Y
authors.initials: DY
authors.lastname: Ming
authors.forename: Alyssa M
authors.initials: AM
authors.lastname: Stephany
authors.forename: John A
authors.initials: JA
authors.lastname: Gallis
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Powers
mesh_terms: D057286:Electronic Health Records; D006302:Health Services Research; D020445:Hospitalists; D006801:Humans; D033183:Interdisciplinary Communication; D009096:Multi-Institutional Systems; D009657:North Carolina; D010351:Patient Discharge / Q000592:standards*; D058007:Physicians, Primary Care