ArticleJournal of general internal medicine2015
"Ms. B changes doctors": using a comic and patient transition packet to engineer patient-oriented clinic handoffs (EPOCH).
Article in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The use of comics to promote health awareness: A template using nonalcoholic fatty liver disease.European journal of clinical investigation · 2022Review
- Defining the Resident Continuity Clinic Panel Along Patient Outcomes: a Health Equity Opportunity.Journal of general internal medicine · 2021Article
- Year-End Clinic Handoffs: A National Survey of Academic Internal Medicine Programs.Journal of general internal medicine · 2017Article
- Capsule Commentary on Phillips et al., Year-End Clinic Handoffs: A National Survey of Academic Internal Medicine Programs Running Title: National Survey of Year-End Clinic Handoffs.Journal of general internal medicine · 2017Article
- Acute Care Utilization by Patients After Graduation of Their Resident Primary Care Physicians.Journal of general internal medicine · 2015Article
- Transitions of Care in Continuity Clinic--Lessons Learned and Next Steps.Journal of general internal medicine · 2015Article
- Residents' final transition: the graduation clinic hand-off.Journal of general internal medicine · 2015Article
- Maintaining competence in general internal medicine.Journal of general internal medicine · 2015Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundFew patient-centered interventions exist to improve year-end residency clinic handoffs.
aimOur purpose was to assess the impact of a patient-centered transition packet and comic on clinic handoff outcomes.
settingThe study was conducted at an academic medicine residency clinic.
participantsParticipants were patients undergoing resident clinic handoff 2011-2013 PROGRAM DESCRIPTION: Two months before the 2012 handoff, patients received a "transition packet" incorporating patient-identified solutions (i.e., a new primary care provider (PCP) welcome letter with photo, certificate of recognition, and visit preparation tool). In 2013, a comic was incorporated to stress the importance of follow-up. PROGRAM EVALUATION: Patients were interviewed by phone with response rates of 32 % in 2011, 43 % in 2012 and 36 % in 2013. Most patients who were interviewed were aware of the handoff post-packet (95 %). With the comic, more patients recalled receiving the packet (44 % 2012 vs. 64 % 2013, p< 0.001) and correctly identified their new PCP (77 % 2012 vs. 98 % 2013, p< 0.001). Among patients recalling the packet, most (70 % 2012; 65 % 2013) agreed it helped them establish rapport. Both years, fewer patients missed their first new PCP visit (43 % in 2011, 31 % in 2012 and 26 % in 2013, p< 0.001). DISCUSSION: A patient-centered transition packet helped prepare patients for clinic handoffs. The comic was associated with increased packet recall and improved follow-up rates.
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