1. My experience says that chronic disease readmissions may be a sign of a poor sick day plan or of poor patient adherence but more often represent the ebbs and flows of the chronic disease state and the limited number of venues of care (i.e. office, hospital and ?urgent care)

    The better target is the newly ill who has now become a “patient”, is not prepared for the new meds, the needed follow up and the self care. In that circumstance, “retreating to the ER” is the easiest solution when symptoms recur and the office is closed (or no appointment till next week).

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