全科医生对“门诊转诊与护理合同”质量规范的看法。
General practitioners' views on quality specifications for "outpatient referrals and care contracts".
作者信息
Bowling A, Jacobson B, Southgate L, Formby J
机构信息
Department of Public Health, Medical College of St Bartholomew's.
出版信息
BMJ. 1991 Aug 3;303(6797):292-4. doi: 10.1136/bmj.303.6797.292.
OBJECTIVE
To ascertain general practitioners' views about which quality specifications should be included in contracts for hospital care.
DESIGN
In depth interview study and postal survey.
SETTING
General practitioners in City and Hackney Health District.
SUBJECTS
Fourteen doctors were interviewed in depth; 77 of 131 doctors (59%) returned postal questionnaires.
MAIN OUTCOME MEASURE
Rating of listed quality specifications.
RESULTS
The most popular items which doctors thought should be included in contracts by April 1991 related to the availability of patients' notes in outpatient clinics, respect shown to general practitioners in telephone communications with hospital doctors, supply of medicines after discharge, patient management plans for general practitioners, the earlier arrival of discharge slips, the type of hospital doctor to see new outpatients, and the unnecessary duplication of investigations.
CONCLUSIONS
A high premium was attached by general practitioners to effective organisation, effective communication between primary and secondary sources of care, and effective communication with patients.
目的
确定全科医生对于医院护理合同应包含哪些质量规范的看法。
设计
深度访谈研究和邮寄调查。
地点
城市与哈克尼健康区的全科医生。
研究对象
对14名医生进行了深度访谈；131名医生中有77名（59%）回复了邮寄问卷。
主要观察指标
对列出的质量规范进行评分。
结果
医生们认为到1991年4月应纳入合同的最受欢迎项目包括门诊患者病历的可获取性、医院医生在与全科医生电话沟通中对全科医生的尊重、出院后药品供应、针对全科医生的患者管理计划、出院通知单更早送达、诊治新门诊患者的医院医生类型以及不必要的检查重复。
结论
全科医生高度重视有效的组织、初级和二级护理来源之间的有效沟通以及与患者的有效沟通。
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