Kuppersmith Nancy C, Wheeler Stephen F
Department of Family and Community Medicine, University of Louisville School of Medicine, Louisville, KY 40292, USA.
J Am Diet Assoc. 2002 Dec;102(12):1756-63. doi: 10.1016/s0002-8223(02)90378-0.
To elicit how registered dietitians and family physicians communicate in the outpatient setting.
A descriptive pilot study using two mailed surveys was conducted to elicit aspects of outpatient communication between registered dietitians and family physicians. A sample of nutrition correspondence from registered dietitians to family physicians was also requested.
Surveys were distributed to 504 licensed dietitians and 626 family physicians.
Descriptive statistics were used to analyze survey results.
Responses were received from 389 registered dietitians (77% return rate) and 235 family physicians (37.5% return rate). We received 104 sample notes of correspondence with physicians from dietitians. Among dietitians, 80% reported that they always assess a patient's lifestyle and educational level before choosing an educational approach, and 69% send the nutrition treatment plan to the referring family physician. Among family physicians, 49% often or always find the communications they receive from registered dietitians to be helpful. However, 41% of family physicians reported that they rarely receive detailed nutrition assessments or recommendations about the referred patient from the dietitian, and 54% of all family physicians surveyed often think that this lack of feedback compromises patient care.
APPLICATIONS/CONCLUSION: Dietitians can improve communications with family physicians by standardizing the format and focus of nutrition correspondence and assuring that the referring family physician receives the patient's nutrition care plan. These simple changes would close a very important communication loop, forge stronger partnerships between dietitians and family physicians, and potentially improve patient outcomes.
了解注册营养师和家庭医生在门诊环境中的沟通方式。
采用两项邮寄调查进行描述性试点研究，以了解注册营养师和家庭医生在门诊沟通的各个方面。还要求提供注册营养师给家庭医生的营养通信样本。
向504名持牌营养师和626名家庭医生发放了调查问卷。
采用描述性统计分析调查结果。
收到了389名注册营养师的回复（回复率77%）和235名家庭医生的回复（回复率37.5%）。我们收到了营养师与医生通信的104份样本记录。在营养师中，80%报告称在选择教育方法之前总是会评估患者的生活方式和教育水平，69%会将营养治疗计划发送给转诊的家庭医生。在家庭医生中，49%经常或总是认为他们收到的注册营养师的通信很有帮助。然而，41%的家庭医生报告称他们很少从营养师那里收到关于转诊患者的详细营养评估或建议，并且在接受调查的所有家庭医生中，54%经常认为这种缺乏反馈会影响患者护理。
应用/结论：营养师可以通过规范营养通信的格式和重点，并确保转诊的家庭医生收到患者的营养护理计划，来改善与家庭医生的沟通。这些简单的改变将闭合一个非常重要的沟通回路，在营养师和家庭医生之间建立更紧密的合作关系，并有可能改善患者的治疗效果。
