Hansen R
Neuromedicinsk afdeling, Købehavns Amts Sygehus i Gentofte.
Ugeskr Laeger. 1990 Aug 27;152(35):2501-4.
This article accounts for how general practitioners and a group of neuromedical patients experience cooperation with hospital, social workers and the social authorities after discharge from hospital and their own wishes on this subject. The investigation reveals that communication is not optimal and that it should be intensified. The frequency of contact between the general practitioner and the patients is considerable and half of the patients desire follow-up treatment by the general practitioners. The majority of the general practitioners are willing to undertake follow-up treatment. The majority of the patients want their own general practitioner to be involved in solution of the social problems and the majority of the general practitioners want to be told by the social worker attached to the department about the problems which neuromedical patients may encounter on discharge from hospital. Less than half of the letters of discharge are sent to the patient's general practitioner within two weeks of discharge. By and large, the content of the letters of discharge is satisfactory with the exception about the information given to the patients. Although the patient clientele has serious social problems, cooperation between the general practitioner and the social authorities is defective. The general practitioners emphasize lack of special knowledge and defective understanding of the problems which neuromedical patients experience and defective interest in suggestions made by general practitioners to persons in the social administration. More than one third of the general practitioners would prefer cooperation with the social worker from the department during the follow-up period.(ABSTRACT TRUNCATED AT 250 WORDS)
本文阐述了全科医生以及一群神经医学患者在出院后与医院、社会工作者和社会当局合作的经历,以及他们在此方面的自身意愿。调查显示,沟通并非最佳状态,应予以加强。全科医生与患者之间的联系频率颇高,半数患者希望由全科医生进行后续治疗。大多数全科医生愿意承担后续治疗工作。大多数患者希望自己的全科医生参与解决社会问题,而大多数全科医生希望科室的社会工作者告知他们神经医学患者出院后可能遇到的问题。不到一半的出院信在出院两周内送达患者的全科医生手中。总体而言,出院信的内容令人满意,但在向患者提供的信息方面存在例外。尽管患者群体存在严重的社会问题,但全科医生与社会当局之间的合作存在缺陷。全科医生强调缺乏专业知识,对神经医学患者所经历的问题理解不足,且对全科医生向社会管理部门人员提出的建议缺乏兴趣。超过三分之一的全科医生更倾向于在后续阶段与科室的社会工作者合作。(摘要截取自250字)