Jørgensen F S, Kjaergaard J
Bispebjerg Hospital, København, Kirurgisk Gastroenterologisk afdeling F.
Ugeskr Laeger. 1990 Oct 15;152(42):3062-5.
In September 1986, a questionnaire about letters of discharge was sent to 250 house officers in 250 clinical departments in Denmark. Out of these 197 replied to the questionnaire (78%). 32% of the house officers found that an acceptable time for the general practitioner to receive the letter of discharge was 0-3 days after discharge of the patient, while 53% of the house officers found that 4-7 days time was acceptable. 23% of the house officers stated that they had now or previously received formalized teaching about how to write letters of discharge. 44% of the house officers stated that they never received criticism or advice about writing of letters of discharge from their physicians-in-charge. The house officers considered that the most important information in the letter of discharge was, in general: medication on discharge, recommended follow-up treatment apart from medicine, information about possible outpatient visits, pathological findings at operation or biopsy and information about the treatment during hospitalization. 88% of the house officers considered that the letter of discharge was a good form of communication. 29% of the house officers considered that alterations of the work in toto of the letters of discharge were necessary and remarked that this was particularly important as regards early dispatch of letters of discharge to general practitioners. A description of the function of letters of discharge as seen by house officers is attempted in this investigation.
1986年9月，一份关于出院小结的调查问卷被寄给丹麦250个临床科室的250名住院医师。其中197人回复了问卷（回复率78%）。32%的住院医师认为，全科医生接收出院小结的可接受时间是患者出院后0至3天，而53%的住院医师认为4至7天是可接受的。23%的住院医师表示他们现在或以前接受过关于如何撰写出院小结的正规教学。44%的住院医师表示他们从未从上级医师那里收到过关于撰写出院小结的批评或建议。住院医师们普遍认为出院小结中最重要的信息是：出院时的用药情况、除药物治疗外推荐的后续治疗、可能的门诊就诊信息、手术或活检的病理结果以及住院期间的治疗信息。88%的住院医师认为出院小结是一种很好的沟通形式。29%的住院医师认为有必要对出院小结的整体工作进行改进，并指出这对于尽早将出院小结发送给全科医生尤为重要。本调查试图描述住院医师眼中出院小结的作用。
