Importance: The fragmented health care system presents significant challenges to promoting trust with hospitalized patients.

Objective: To test the feasibility and perceptions of a digital connection tool for communication among patients, hospitalists, and primary care practitioners (PCPs).

Design, setting, and participants: This quality improvement study was conducted as a feasibility pilot study from September 2022 to June 2023 on medical floors across 3 hospitals. Participants included adult inpatients, the hospitalists who managed their care, and the patients' PCPs. Data were analyzed from September 2023 to April 2025.

Exposure: Structured, video-mediated interaction among the patient, family caregiver (if available), hospitalist, and PCP, conducted before discharge.

Main outcomes and measures: Outcomes of interest were patient perceptions, assessed using the Consultation and Relational Empathy (CARE) measure. Open-ended question sought patients' feedback. Hospitalists' and PCPs' perceptions were evaluated using Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) surveys.

Results: The study sample included 106 participants (mean [SD] age, 63.2 [14.9] years; 55 [51.9%] male). Bedside video meetings were a mean (SD) of 8 (2.8) minutes. Overall score for CARE questions showed a significant improvement, increasing from 40.9 (95% CI, 39.5-42.2) to 47.5 (95% CI, 46.5-48.5) (P < .001). Of clinicians, 50 of 95 PCPs (52.6%) and 42 of 56 hospitalists (75.0%) completed surveys. PCPs reported more positive perceptions than hospitalists regarding acceptability (4.1 [95% CI, 3.90-4.38] vs 3.6 [95% CI, 3.34-3.84]; P = .006) and appropriateness (4.1 [95% CI, 3.86-4.35] vs 3.7 [95% CI, 3.41-3.94]; P = .03). Qualitative feedback highlighted improved information sharing, communication, and collaborative discharge planning. Patients felt more cared for and were more confident about follow-up steps.

Conclusions and relevance: Findings of this quality improvement study highlighted the value of patient-hospitalist-PCP virtual meetings in addressing gaps in information exchange, increasing patient confidence, and improving clinician perceptions of care coordination. These results supported the feasibility and potential of incorporating such interventions as part of routine discharge procedures. The Centers for Medicare & Medicaid Services could consider incorporating a direct interaction component with hospitalists, patients, and PCPs before hospital discharge into the requirements for Transitional Care Management billing or allow current billing codes to be applied in the hospital setting.

重要性： 碎片化的医疗保健系统给住院患者建立信任带来了重大挑战。

目标： 测试一种用于患者、医院内科医生和初级保健提供者（PCP）之间沟通的数字连接工具的可行性和感知效果。

设计、环境及参与者： 这项质量改进研究于2022年9月至2023年6月期间在三家医院的医疗楼层进行了一项可行性试点研究。参与者包括成年住院患者、管理他们护理的内科医生以及患者的初级保健提供者。数据分析时间为2023年9月至2025年4月。

暴露因素： 患者、家庭照顾者（如果有的话）、内科医生和PCP之间在出院前进行的结构化视频互动会议。

主要结果与测量指标： 关注的结果是患者感知，使用《咨询和关系共情》（CARE）量表评估。开放式问题征求患者的反馈意见。内科医生和PCP的感知通过干预措施可接受性量表(AIM)、干预措施适当性量表(IAM) 和干预措施可行性量表(FIM)进行评估。

结果： 研究样本包括106名参与者（平均[标准差]年龄为63.2[14.9]岁；55 [51.9%] 男性）。床边视频会议的平均时长为8 (2.8) 分钟。整体CARE问题得分显著提高，从基线期的40.9（95% 置信区间，39.5-42.2）增加到干预后的47.5（95% 置信区间，46.5-48.5）(P

结论及相关性： 这项质量改进研究的结果突显了虚拟的患者-内科医生-初级保健提供者会议在解决信息交换缺口、增强患者信心和改善临床人员对护理协调的看法方面的价值。这些结果支持将此类干预措施纳入常规出院流程中的可行性及其潜力。美国医疗保险与医疗补助服务中心可以考虑在出院前将直接互动（涉及医院内科医生、患者及PCP）作为转换期护理管理收费的要求，或者允许当前的收费代码在住院环境中应用。