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全科医生对新转诊癌症患者附带的结构化肿瘤学信息的评估。

General practitioner assessment of structured oncological information accompanying newly referred cancer patients.

作者信息

Kousgaard Karen Raaby, Nielsen Julie Damgaard, Olesen Frede, Jensen Anders Bonde

机构信息

Research Unit and Department of General Practice, University of Aarhus, Denmark.

出版信息

Scand J Prim Health Care. 2003 Jun;21(2):110-4. doi: 10.1080/02813430310001725.

Abstract

OBJECTIVE

To investigate general practitioner (GP) assessment of a structured oncology information pack sent to GPs when newly referred patients had visited a department of oncology for the first time, and to compare their assessment of this material with their assessment of traditional information provided by the department.

DESIGN

Randomised, unblinded clinical trial.

SETTING

Patients and GPs in the catchment area of a regional oncology department.

SUBJECTS/PATIENTS: 248 cancer patients and their 199 GPs.

MAIN OUTCOME MEASURES

GP assessment of the quality of the information material received for each patient.

RESULTS

88.3% of the 248 questionnaires were returned. The structured information pack improved GP knowledge of oncology; GPs found themselves better equipped to support and counsel patients during the course of their illness, and practitioner satisfaction with the department rose.

CONCLUSION

Intervention, though reasonably simple, inexpensive and not particularly time-consuming, improved cooperation between the specialist department and the GP. While this is a small step in the right direction, the need remains for new initiatives and further studies into how to improve cooperation and communication between the primary and secondary healthcare sectors.

摘要

目的

调查全科医生(GP)对新转诊患者首次就诊肿瘤科时发送给他们的结构化肿瘤学信息包的评估,并将他们对该材料的评估与对科室提供的传统信息的评估进行比较。

设计

随机、非盲临床试验。

地点

地区肿瘤科室服务范围内的患者和全科医生。

受试者/患者:248名癌症患者及其199名全科医生。

主要观察指标

全科医生对每位患者所接收信息材料质量的评估。

结果

248份问卷中有88.3%被收回。结构化信息包提高了全科医生的肿瘤学知识;全科医生发现自己在患者病程中更有能力支持和咨询患者,并且医生对科室的满意度提高了。

结论

干预措施虽然相当简单、成本低廉且不太耗时,但改善了专科科室与全科医生之间的合作。虽然这只是朝着正确方向迈出的一小步,但仍需要新的举措以及进一步研究如何改善初级和二级医疗保健部门之间的合作与沟通。

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