Rasmussen H H, Pedersen B, Sørensen H T, Freund K S
Medicinsk gastroenterologisk afdeling, Aalborg Sygehus.
Ugeskr Laeger. 1991 Jun 24;153(26):1868-70.
The content of discharge letters is important to general practice in order to give an optimal physical, psychiatric and social treatment in view of ideal utilization of the resources in the primary health service. The content of 91 discharge letters from a medical department of gastroenterology was judged by the general practitioner. Most often medication on discharge (25%) and reason for referral (15%) were missing. Dissatisfaction was expressed about late receipt of discharge letters (median: 13 days), the lack of information given to the patients, medicine on discharge, as well as reasons for possible changes in medication. The quality and content of the discharge letter were evaluated as good on the whole (80%). It is concluded that the discharge letter should have a higher priority and, for example, training is necessary. Further investigations are needed to solve these problems.
出院小结的内容对于全科医疗十分重要，这样才能在合理利用基层医疗服务资源的前提下，提供最佳的身体、精神和社会治疗。91份来自胃肠病科的出院小结由全科医生进行了评估。出院时的用药信息（25%）和转诊原因（15%）缺失的情况最为常见。对于出院小结接收延迟（中位数：13天）、未向患者提供信息、出院时的用药情况以及用药可能变化的原因，全科医生表达了不满。出院小结的质量和内容总体评估为良好（80%）。结论是出院小结应有更高的优先级，例如有必要进行培训。需要进一步调查以解决这些问题。
