EFFECTS OF A POSTDISCHARGE CLINIC ON HOUSESTAFF SATISFACTION AND UTILIZATION OF HOSPITAL SERVICES

This randomized, controlled clinical trial evaluated the effect of a p ostdischarge clinic on housestaff education and patient utilization of hospital services. Medicine housestaff were randomized either to atte nd a clinic once a week in which they saw all eligible patients they h ad recently discharged from the hospital, or to continue with usual di scharge practices, We enrolled 751 patients, 312 on intervention teams and 439 on control teams. Intervention housestaff did not feel that t he clinic took too much time and felt that they better knew how patien ts did after discharge. Fewer intervention patients had emergency room visits (28.0% to 20.8%, p = .03) in the 30 days after discharge. Leng th of stay, readmission rates, and mortality were similar for the two groups. We conclude that a postdischarge clinic can improve resident e ducation and reduce postdischarge emergency room utilization.