ArticleJMIR medical informatics2025
Virtual Transition of Care Clinics and Associated Readmission Rates: 3-Year Retrospective Cohort Study.
Article in JMIR medical informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed.
- Survivor Treatment Selection Bias in Evaluations of Virtual Transition of Care.JMIR medical informatics · 2026Article
- Designing clinical AI for patient-centered support beyond the visit: the PACT framework for health systems.npj health systems · 2026Review
- Safety of Telemedicine Versus In-Person Care for Patients With Tracheal Devices: Propensity Score-Matched Cohort Study.Journal of medical Internet research · 2026Article
- Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundHospital readmissions pose a significant burden on patients, health care providers, and systems, with an estimated annual cost of $17 billion. Timely follow-up within 7 days postdischarge is known to reduce readmissions but is often limited by access constraints. While transitions of care clinics have demonstrated benefits in reducing unplanned readmissions, physical space requirements can be logistically and financially challenging.
objectiveThis study aimed to evaluate the effectiveness of a virtual transitions of care (VToC) clinic in reducing 30-day hospital readmissions and improving postdischarge care coordination.
methodsUniversity of California, San Diego Health implemented a hospitalist-led VToC clinic designed to support clinical management, medication reconciliation, primary care provider repatriation, and specialty care navigation. The study included 2314 patients seen in the VToC clinic between September 2021 and September 2024. Outcomes were compared to a benchmark group using regression analysis to assess the impact on 30-day readmission rates.
resultsThe 30-day readmission rate for VToC patients was 14.9% (344/2314), significantly lower than the 20.1% (4659/23,129) observed in the benchmark group (P<.001). Regression analysis indicated that patients not participating in the VToC clinic had a higher likelihood of readmission (odds ratio=1.37; 95% CI=1.21-1.54; P<.001). The most substantial reduction in readmissions was observed among patients with moderate readmission risk (LACE+ score of 50-75).
conclusionsVToC clinics are a feasible and effective strategy for enhancing postdischarge care, reducing hospital readmissions, and improving care coordination. This model supports the quadruple aim by promoting better health outcomes, improved patient experience, cost-efficiency, and care equity.
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