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患者对于眼科肿瘤医生向转诊眼科医生和全科医生提供门诊病历副本的态度。

Patient attitudes to receiving copies of outpatient clinic letters from the ocular oncologist to the referring ophthalmologist and GP.

作者信息

Krishna Y, Damato B E

机构信息

Unit of Ophthalmology, Department of Medicine, University Clinical Departments, Duncan Building, Daulby Street, Liverpool, L69 3GA UK.

出版信息

Eye (Lond). 2005 Nov;19(11):1200-4. doi: 10.1038/sj.eye.6701740.

Abstract

AIM

To investigate patients' views and understanding on receiving a copy of the outpatient clinic letter from the ocular oncologist to the referring ophthalmologist and GP.

METHODS

Face-to-face interviews were conducted with 52 patients attending outpatient ocular oncology follow-up clinics, in a semistructured format using a qualitative open-ended questionnaire. The clinics are held at Liverpool Ocular Oncology Centre, a tertiary specialist referral centre at St. Paul's Eye Unit in Royal Liverpool University Hospital.

RESULTS

Patients' views on receiving a copy of the outpatient letter, their understanding of the letter, and improvements suggested. A total of 58% of patients had received a letter and 97% of them said they were glad they had it. Of this group 77% had shown it to family/friend. Consistent comments included: 'help with accepting the news;' 'good to be informed and to know what to expect;' 'confirmed what was said in the consultation.' Of the patients who had not received a copy of the letter, 64% replied that they would have liked a copy. A total of 80% of patients reported that they fully understood the letter. In all, 17% wanted medical terms to be explained, when asked to suggest improvements.

CONCLUSIONS

Sending patients copies of the consultant outpatient letter seemed to be highly appreciated and a useful method of information giving regarding diagnosis and management.

摘要

目的

调查患者对于收到眼科肿瘤专家给转诊眼科医生及全科医生的门诊信件副本的看法和理解。

方法

采用定性开放式问卷,以半结构化形式对52名前往眼科肿瘤门诊随访诊所的患者进行面对面访谈。这些诊所位于利物浦眼科肿瘤中心,该中心是皇家利物浦大学医院圣保罗眼科单元的三级专科转诊中心。

结果

患者对于收到门诊信件副本的看法、对信件的理解以及提出的改进建议。共有58%的患者收到了信件,其中97%的患者表示很高兴收到。在这组患者中,77%的患者已将信件展示给家人/朋友。一致的评价包括:“有助于接受消息”;“被告知并知道预期情况很好”;“证实了会诊中所说的内容”。在未收到信件副本的患者中,64%的患者回答他们希望收到副本。共有80%的患者报告称他们完全理解信件内容。当被要求提出改进建议时,总体上有17%的患者希望对医学术语进行解释。

结论

向患者发送会诊门诊信件副本似乎广受赞赏,是一种就诊断和治疗提供信息的有用方法。

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