Renovanz M, Keric N, Richter C, Gutenberg A, Giese A
Klinik und Poliklinik für Neurochirurgie, Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland.
Nervenarzt. 2015 Dec;86(12):1555-60. doi: 10.1007/s00115-015-4473-8.
Communication between university medical centers and general practitioners (GP) is becoming increasingly more important in supportive patient care. A survey among GPs was performed with the primary objective to assess their opinion on current workflow and communication between GPs and the university medical center.
The GPs were asked to score (grades 1-6) their opinion on the current interdisciplinary workflow in the care of patients with brain tumors, thereby rating communication between a university medical center in general and the neuro-oncology outpatient center in particular.
Questionnaires were sent to1000 GPs and the response rate was 15 %. The mean scored evaluation of the university medical center in general was 2.62 and of the neuro-oncological outpatient clinic 2.28 (range 1-6). The most often mentioned issues to be improved were easier/early telephone information (44 %) and a constantly available contact person (49 %). Interestingly, > 60 % of the GPs indicated they would support web-based tumor boards for interdisciplinary and palliative neuro-oncological care.
As interdisciplinary care for neuro-oncology patients is an essential part of therapy, improvement of communication between GPs and university medical centers is indispensable. Integrating currently available electronic platforms under data protection aspects into neuro-oncological palliative care could be an interesting tool in order to establish healthcare networks and could find acceptance with GPs.
在支持性患者护理中，大学医学中心与全科医生（GP）之间的沟通变得越来越重要。对全科医生进行了一项调查，其主要目的是评估他们对当前全科医生与大学医学中心之间的工作流程和沟通的看法。
要求全科医生对他们对脑肿瘤患者护理中当前跨学科工作流程的看法进行评分（1 - 6级），从而对一般大学医学中心，特别是神经肿瘤门诊中心之间的沟通进行评级。
向1000名全科医生发送了问卷，回复率为15%。对一般大学医学中心的平均评分是2.62，对神经肿瘤门诊的平均评分是2.28（范围为1 - 6）。最常提到的需要改进的问题是更便捷/早期的电话信息（44%）和随时可联系的联系人（49%）。有趣的是，超过60%的全科医生表示他们会支持基于网络的肿瘤讨论组用于跨学科和姑息性神经肿瘤护理。
由于神经肿瘤患者的跨学科护理是治疗的重要组成部分，改善全科医生与大学医学中心之间的沟通是必不可少的。在数据保护方面将当前可用的电子平台整合到神经肿瘤姑息护理中可能是建立医疗网络的一个有趣工具，并且可能会得到全科医生的认可。
