de Laitre V, Lefrant J-Y, Jaber S, Baudot J, Papazian L, Muller L, Mercier G, Fabbro-Péray P, Ripart J, Eledjam J-J, de La Coussaye J-E
Fédération d'Anesthésie-Douleur-Urgences-Réanimation, Groupe Hospitalo-Universitaire Caremeau, CHU de Nîmes, place du professeur Robert-Debré, 30029 Nîmes cedex 09, France.
Ann Fr Anesth Reanim. 2006 May;25(5):493-500. doi: 10.1016/j.annfar.2005.12.006. Epub 2006 Feb 20.
Assessment of relationship between general practitioners and intensivists.
Intensivists were questioned by phone from June 14th to September 28th 2004.
245 out of 264 intensivists from 8 French Southern regional areas were questioned concerning their relationship with critically ill patients' general practitioner.
Patients were mainly admitted into Intensive care Unit (ICU) from the Emergency Department (55%). An information letter from the general practitioner was reported for 20% of admitted patients but 50% of these letters was assumed as not informative. The informations concerning the patient's medical history, therapies, and disease leading to admission and the patient's status were assessed with 6.5, 7.0, 6.0 and 2.0, respectively (maximal note=10). The intensivists contacted the general practitioner for 30% of admitted patients. During the stay in ICU, 33% general practitioners were reported to request informations by phone or visit in ICU. When the stay in ICU was>10 days, the general practitioner was nearly never regularly informed about patient's status. When the patient was discharged from the ICU, 80% of intensivists used an exhaustive typed report to inform the general practitioner. The overall relationship between the general practitioner and the intensivist was assessed as 5.5/10. Insufficient information in the general practitioner's letter at admission, the lack of request for information during the stay in ICU, the lack of contact with the general practitioner by the intensivist and an intensivist's age between 46 and 55 were associated with a relationship assessment<4/10).
评估全科医生与重症监护医生之间的关系。
2004年6月14日至9月28日通过电话对重症监护医生进行询问。
对法国南部8个地区的264名重症监护医生中的245名询问了他们与危重症患者的全科医生之间的关系。
患者主要从急诊科转入重症监护病房（ICU）（55%）。20%的入院患者收到了全科医生的信息函，但其中50%的函件被认为没有提供有用信息。关于患者病史、治疗、导致入院的疾病以及患者状况的信息评估分别为6.5、7.0、6.0和2.0（满分=10）。30%的入院患者，重症监护医生联系了其全科医生。在患者入住ICU期间，33%的全科医生被报告通过电话或到ICU探视来询问信息。当患者在ICU的住院时间>10天时，全科医生几乎从未定期收到患者状况的信息。当患者从ICU出院时，80%的重症监护医生使用详尽的打印报告通知全科医生。全科医生与重症监护医生之间的总体关系评估为5.5/10。入院时全科医生函件信息不足、在患者入住ICU期间缺乏信息询问、重症监护医生与全科医生缺乏联系以及重症监护医生年龄在46至55岁之间与关系评估<4/10相关。
