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界面沟通:更好的转诊信会带来更好的会诊医生回复吗?

Communication at the interface: do better referral letters produce better consultant replies?

作者信息

Grol Richard, Rooijackers-Lemmers Noor, van Kaathoven Leo, Wollersheim Huub, Mokkink Henk

机构信息

Centre for Quality of Care Research (WOK), Nijmegen University, PO Box 9101, 6500 HB Nijmegen, The Netherlands.

出版信息

Br J Gen Pract. 2003 Mar;53(488):217-9.

PMID:14694699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1314548/
Abstract

A study of the quality of 637 referral letters from general practitioners (GPs) and corresponding reply letters from medical specialists showed that both types of letters can be improved, and that specific requests by GPs were addressed explicitly by the specialists in only a limited number of cases. Better referral letters resulted only partly in better reply letters. A letter is considered to be of higher quality when a specialist commences a letter with a reference to the specific request by the GP. In conclusion, opportunities for optimal communication should be better used.

摘要

一项对637封全科医生(GP)转诊信及医学专家相应回复信质量的研究表明,这两类信件都有改进空间,且全科医生提出的特定请求仅在少数情况下得到专家明确回应。更好的转诊信仅在一定程度上带来更好的回复信。当专家在信开头提及全科医生的特定请求时,该信被认为质量更高。总之,应更好地利用实现最佳沟通的机会。

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本文引用的文献

1
Improving the interface between primary and secondary care: a statement from the European Working Party on Quality in Family Practice (EQuiP).改善初级保健与二级保健之间的衔接:欧洲家庭医疗质量工作小组(EQuiP)声明
Qual Health Care. 2001 Mar;10(1):33-9. doi: 10.1136/qhc.10.1.33.
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Coordination of specialty referrals and physician satisfaction with referral care.专科转诊的协调以及医生对转诊护理的满意度。
Arch Pediatr Adolesc Med. 2000 May;154(5):499-506. doi: 10.1001/archpedi.154.5.499.
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A randomised controlled trial of dictating the clinic letter in front of the patient.一项关于在患者面前口述临床信函的随机对照试验。
BMJ. 1997 Feb 1;314(7077):347-8. doi: 10.1136/bmj.314.7077.347.
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Shared care: a review of the literature.共享护理:文献综述
Fam Pract. 1996 Jun;13(3):264-79. doi: 10.1093/fampra/13.3.264.
5
Referral notes used as a tool for evaluating the co-operation between general practitioners and hospital physicians.
Scand J Prim Health Care. 1994 Sep;12(3):214-8. doi: 10.3109/02813439409003702.
6
A study of communication between general practitioners and specialists.全科医生与专科医生之间的沟通研究。
Br J Gen Pract. 1990 Nov;40(340):445-9.
7
Referral letters and replies from orthopaedic departments: opportunities missed.骨科部门的转诊信及回复:错失的机会
BMJ. 1990 Sep 8;301(6750):470-3. doi: 10.1136/bmj.301.6750.470.
8
Communication between general practitioners and consultants: what should their letters contain?全科医生与专科医生之间的沟通:他们的信件应包含哪些内容?
BMJ. 1992 Mar 28;304(6830):821-4. doi: 10.1136/bmj.304.6830.821.