肿瘤学家和家庭医生。使用标准化信函改善沟通。
Oncologists and family physicians. Using a standardized letter to improve communication.
作者信息
Braun Ted C, Hagen Neil A, Smith Colum, Summers Nancy
机构信息
Calgary Regional Palliative & Hospice Care Service, Alberta.
出版信息
Can Fam Physician. 2003 Jul;49:882-6.
Abstract
PROBLEM BEING ADDRESSED
Communication between oncologists at a regional cancer centre and family physicians caring for palliative cancer patients in the community was ineffective.
OBJECTIVE OF PROGRAM
To improve communication between oncologists and family physicians by routine use of a template for dictated letters concerning follow-up care.
PROGRAM DESCRIPTION
A consultation letter template was constructed and tested at a single clinic. The template was designed to guide oncologists dictating letters to family physicians for patients' follow-up visits. Effectiveness of the standardized letter was evaluated with a before-after survey.
CONCLUSION
Using the template letter improved communication with respect to the relevance, timeliness, format, and amount of information. As care for patients at the end of life increasingly shifts to the community, ongoing efforts are required to improve communication between cancer centres and primary care physicians.
摘要
解决的问题
某地区癌症中心的肿瘤学家与社区中为癌症姑息治疗患者提供护理的家庭医生之间的沟通效率低下。
项目目标
通过常规使用关于后续护理的口述信件模板，改善肿瘤学家与家庭医生之间的沟通。
项目描述
在一家诊所构建并测试了一份会诊信件模板。该模板旨在指导肿瘤学家为患者的后续就诊向家庭医生口述信件。通过前后调查评估了标准化信件的有效性。
结论
使用模板信件在相关性、及时性、格式和信息量方面改善了沟通。随着对临终患者的护理越来越多地转向社区，需要持续努力以改善癌症中心与初级保健医生之间的沟通。
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