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[出院用药信息:全科医生需要什么?]

[The information about discharge medication: what do general practitioners need?].

作者信息

Adam Henning, Niebling Wilhelm-Bernhard, Schott Gisela

机构信息

Arzneimittelkommission der deutschen Ärzteschaft, Berlin.

出版信息

Dtsch Med Wochenschr. 2015 Apr;140(8):e74-9. doi: 10.1055/s-0041-101401. Epub 2015 Apr 16.

Abstract

BACKGROUND

The information about the patient's discharge medication (DM) in the discharge letter guarantees the subsequent pharmacotherapy at the interface between tertiary to primary care. International data however shows that general practitioners (GPs) receive discharge letters with a delay and relevant information about DM is lacking. The aim of this study was to assess the point of view of German GPs concerning the information about DM, since no recent data about this topic is available.

METHODS AND PARTICIPANTS

In a postal survey 516 GPs in the city of Berlin were contacted and asked about the transit of discharge letters and the information about DM. Results | 117 GPs answered the questionnaire (23 %). Most frequently, the patient himself handed over the information about DM to the GP on the day of his first visit in the practice after discharge. However, more than two third of GPs wished to receive the information before the patient's first consultation (73 %). Therefore, the majority preferred the electronic communication via fax (46 %) or email (9 %). Almost half of the GPs stated that discharge letters were lacking information about changes in medication and reasons for these changes. At the same time, nearly all GPs thought that these informational aspects were important.

DISCUSSION

GPs wish an early and electronic transit of the DM with information concerning changes in medication and reasons. If these wishes were considered, a continuous and thus safer pharmacotherapy at the interface could be guaranteed.

摘要

背景

出院小结中的患者出院用药(DM)信息可确保在三级医疗与初级医疗衔接过程中的后续药物治疗。然而,国际数据显示,全科医生(GPs)收到出院小结存在延迟,且缺乏关于DM的相关信息。本研究的目的是评估德国全科医生对DM信息的看法,因为目前尚无关于该主题的最新数据。

方法与参与者

通过邮政调查联系了柏林市的516名全科医生,询问出院小结的传递情况以及DM信息。结果 | 117名全科医生回答了问卷(23%)。最常见的情况是,患者本人在出院后首次到诊所就诊当天将DM信息交给全科医生。然而,超过三分之二的全科医生希望在患者首次就诊前收到该信息(73%)。因此,大多数人更喜欢通过传真(46%)或电子邮件(9%)进行电子通信。近一半的全科医生表示,出院小结缺乏用药变化及这些变化原因的信息。与此同时,几乎所有全科医生都认为这些信息方面很重要。

讨论

全科医生希望DM信息能尽早通过电子方式传递,并包含用药变化及原因的信息。如果考虑到这些愿望,就能确保在衔接过程中进行持续且更安全的药物治疗。

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