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改善耳鼻喉科急诊诊所就诊患者与全科医生之间的沟通:一项地区全科医生调查与审核

Improving correspondence to general practitioners regarding patients attending the ENT emergency clinic: a regional general practitioner survey and audit.

作者信息

Wasson J, Pearce L, Alun-Jones T

机构信息

Department of Otolaryngology, Leicester Royal Infirmary, UK.

出版信息

J Laryngol Otol. 2007 Dec;121(12):1189-93. doi: 10.1017/S0022215107000746. Epub 2007 Oct 1.

Abstract

INTRODUCTION

The ENT emergency clinic provides an important out-patient service; however, often, no correspondence is sent to the general practitioner.

AIM

To conduct a general practitioner questionnaire audit in order to assess whether a standardised, computerised clinic letter template could improve communication between the ENT emergency clinic and patients' general practitioners.

STANDARD

All ENT emergency clinic patients should have a summary letter sent to their general practitioner.

METHODS

One hundred general practitioner questionnaires were enclosed with the first 100 ENT emergency clinic template letters sent to patients' general practitioners.

RESULTS

Seventy-two general practitioners responded (72 per cent). Of these respondents, only 7 per cent had previously received regular correspondence from the ENT emergency clinic before the introduction of the computerised letter template. Following its implementation, such a letter was sent to 100 per cent of the clinic patients' general practitioners. Ninety-seven per cent of the general practitioners valued the template letter, with a mean satisfaction score of 8.4 on a 10-point scale. Eighty-six per cent of the general practitioners stated that they would not prefer a dictated letter.

CONCLUSION

The introduction of a simple, computerised clinic letter template improves communication with ENT emergency clinic patients' general practitioners.

摘要

引言

耳鼻喉科急诊诊所提供一项重要的门诊服务;然而,该诊所常常不向全科医生发送信函。

目的

开展一项全科医生问卷调查审核,以评估标准化的电脑化门诊信函模板是否能改善耳鼻喉科急诊诊所与患者的全科医生之间的沟通。

标准

所有耳鼻喉科急诊诊所的患者都应收到一份致其全科医生的总结信函。

方法

在发送给患者全科医生的前100份耳鼻喉科急诊诊所模板信函中每份都附上一份100份全科医生调查问卷。

结果

72位全科医生回复(72%)。在这些回复者中,在引入电脑化信函模板之前,只有7%的人曾定期收到耳鼻喉科急诊诊所的信函。在实施该模板后,100%的诊所患者的全科医生都收到了这样一封信函。97%的全科医生重视该模板信函,在10分制中平均满意度得分为8.4分。86%的全科医生表示他们不倾向于口授信函。

结论

引入简单的电脑化门诊信函模板可改善与耳鼻喉科急诊诊所患者的全科医生之间的沟通。

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