Table III.
Transition of Care Factors
| High persistence (n=5,509) | Moderate persistence (n=2,265) | Low persistence (n=181) | p-value | |
|---|---|---|---|---|
| Pre-discharge | ||||
| Number of discharge medications* | 7 (6, 10) | 7 (6, 10) | 7 (5, 10) | 0.17 |
| Received written discharge med list and instructions | 92.2% | 89.2% | 82.3% | 0.12 |
| Provider explained reason for each med | 83.0% | 80.0% | 69.6% | 0.008 |
| Provider explained side effect for each med | 59.4% | 56.6% | 45.9% | 0.008 |
| Primary in patient service cardiology | 88.5% | 87.8% | 82.9% | 0.03 |
| Cardiac rehab referral | 79.9% | 78.2% | 75.1% | 0.13 |
| Smoking cessation counseling | 51.9% | 54.6% | 56.4% | 0.08 |
| Follow-up appointment made before discharge | 67.3% | 65.0% | 57.5% | 0.27 |
| Post-discharge | ||||
| Cardiologist visit within 6 weeks after hospitalization | 69.4% | 65.8% | 51.4% | 0.0003 |
| Physician visit within 6 weeks after hospitalization | 60.4% | 60.8% | 48.1% | 0.045 |
| Prescription coverage or cost assistance program | 88.9% | 80.0% | 33.7% | <0.0001 |
| Financial hardship with meds | 37.3% | 40.1% | 44.8% | <0.0001 |
*
Reported as median (25th and 75th percentiles). Financial hardship meds = patient reported hardship with medication costs scored ≥3 on scale of 1 to 5 (1 = no hardship, 5 = extreme hardship).