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SMJ // Article

Perspectives

Beyond the Discharge Summary: 10 Critical Considerations for Primary Care Physicians Managing Postdischarge Care

Authors: Masahiro J. Morikawa MD, MPH, Prakash P. Ganesh MD, MPH

Abstract

The transition from inpatient to ambulatory care represents a critical period requiring seamless coordination between hospital teams and primary care physicians (PCPs). This handover is particularly crucial for older adult patients with multiple comorbidities, including cognitive and physical impairments, for whom careful management can prevent readmissions and ensure successful recovery. PCPs must synthesize new findings and modify existing treatment plans on hospitalization outcomes. Beyond the discharge summaries, PCPs often encounter subtle yet significant issues during follow-up visits that require attention. Here, we offer 10 critical considerations for PCPs managing postdischarge care.

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