We found a matchYour institution may have access to this item. Find your institution then sign in to continue.TitleFalling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs.AuthorsColeman EAPublicationJournal of the American Geriatrics Society, 2003, Vol 51, Issue 4, p549ISSN0002-8614Publication typearticleDOI10.1046/j.1532-5415.2003.51185.x