Durbin Janet, Barnsley Jan, Finlayson Brenda, Jaakkimainen Liisa, Lin Elizabeth, Berta Whitney, McMurray Josephine
Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
J Behav Health Serv Res. 2012 Oct;39(4):445-61. doi: 10.1007/s11414-012-9288-9.
In managing treatment for persons with mental illness, the primary care physician (PCP) needs to communicate with mental health (MH) professionals in various settings over time to provide appropriate management and continuity of care. However, effective communication between PCPs and MH specialists is often poor. The present study reviewed evidence on the quality of information transfer between PCPs and specialist MH providers for referral requests and after inpatient discharge. Twenty-three audit studies were identified that assessed the quality of content and nine that assessed strategies to improve quality. Results indicated that rates of item reporting were variable. Within the limited evidence on interventions to improve quality, use of structured forms showed positive results. Follow-up work can identify a minimum set of items to include in information transfers, along with item definitions and structures for holding this information. Then, methodologies for measuring data quality, including electronically generated performance metrics, can be developed.
在管理精神疾病患者的治疗时，初级保健医生（PCP）需要在不同环境中与心理健康（MH）专业人员长期沟通，以提供适当的管理和持续护理。然而，初级保健医生与心理健康专家之间的有效沟通往往较差。本研究回顾了关于初级保健医生与心理健康专科提供者之间转诊请求及住院出院后信息传递质量的证据。确定了23项评估内容质量的审计研究和9项评估提高质量策略的研究。结果表明，项目报告率各不相同。在关于提高质量干预措施的有限证据中，使用结构化表格显示出积极效果。后续工作可以确定信息传递中应包含的最少项目集，以及项目定义和保存此信息的结构。然后，可以开发测量数据质量的方法，包括电子生成的绩效指标。
