Original ArticlesTransitioning Patients From Specialty Care to Primary Care What We Know and What We Can DoAckerman, Sara L. PhD, MPH; Gleason, Nathaniel MDAuthor Information Department of Social and Behavioral Sciences (Dr Ackerman) and Division of General Internal Medicine (Dr Gleason), University of California, San Francisco. Correspondence: Sara L. Ackerman, PhD, MPH, Department of Social and Behavioral Sciences, University of California, San Francisco, 3333 California St, Ste 455, San Francisco, CA 94118 ([email protected]). The quality improvement project described in this article was supported by the University of California Center for Health Quality and Innovation, award no. A123034. The authors thank the clinicians and patients who generously shared their time and perspectives with them. They are also grateful for the insightful feedback provided by 2 anonymous reviewers at the Journal of Ambulatory Care Management.The authors have no conflicts of interests. Journal of Ambulatory Care Management: October/December 2018 - Volume 41 - Issue 4 - p 314-322 doi: 10.1097/JAC.0000000000000253 Buy Metrics Abstract Growing demand for specialty care has resulted in longer wait times for appointments, particularly at US academic referral centers. A proportion of specialty visits are for routine follow-up care of stable problems, and there is evidence that primary care providers are willing and able to take responsibility for a significant proportion of these patients. However, little is known about how to transition care back to a referring primary care clinician in a manner that is acceptable to everyone involved. In this article, we describe social, legal, and financial barriers to effective care transition and propose communication strategies to overcome them. © 2018 Wolters Kluwer Health, Inc. All rights reserved.