Schweitzer Bart, Blankenstein Nettie, Slort Willemjan, Knol Dirk L, Deliens Luc, Van Der Horst Henriette
a Department of General Practice and Elderly Care Medicine, EMGO + Institute for Health and Care Research , VU University Medical Center , Amsterdam , The Netherlands ;
b Department of Epidemiology and Biostatistics, EMGO + Institute for Health and Care Research , VU University Medical Center , Amsterdam , The Netherlands ;
Scand J Prim Health Care. 2016 Jun;34(2):186-95. doi: 10.3109/02813432.2016.1163036. Epub 2016 Apr 19.
The aim was to evaluate the effect of the implementation of an information handover form regarding patients receiving palliative care. Outcome was the information available for the out-of-hours GP co-operative.
We conducted a controlled trial.
All GPs in Amsterdam, The Netherlands.
The experimental group (N = 240) received an information handover form and an invitation for a one-hour training, the control group (N = 186) did not receive a handover form or training. We studied contacts with the GP co-operative concerning patients in palliative care for the presence and quality of information transferred by the patient's own GP.
Proportion of contacts in which information was available and proportion of adequate information transfer.
Overall information was transferred by the GPs in 179 of the 772 first palliative contacts (23.2%). The number of contacts in the experimental group in which information was available increased significantly after intervention from 21% to 30%, compared to a decrease from 23% to 19% in the control group. The training had no additional effect. The content of the transferred information was adequate in 61.5%. There was no significant difference in the quality of the content between the groups.
The introduction of a handover form resulted in a moderate increase of information transfers to the GP co-operative. However, the total percentage of contacts in which this information was present remained rather low. GP co-operatives should develop additional policies to improve information transfer. Key points The out-of-hours period is potentially problematic for the delivery of optimal palliative care, often due to inadequate information transfer. Introduction of a handover form resulted in a moderate increase of transferred information. The percentage of palliative contacts remained low in cases where information was available. Adequate information was transferred in more than half of the cases.
评估实施一份针对接受姑息治疗患者的信息交接表的效果。结果指标是下班后全科医生合作机构可获取的信息。
我们进行了一项对照试验。
荷兰阿姆斯特丹的所有全科医生。
试验组（N = 240）收到一份信息交接表并收到参加一小时培训的邀请，对照组（N = 186）未收到交接表或培训。我们研究了与全科医生合作机构就姑息治疗患者的联系情况，以了解患者自己的全科医生所传递信息的存在情况和质量。
有信息可获取的联系比例以及信息充分传递的比例。
在772例首次姑息治疗联系中，有179例（23.2%）全科医生传递了总体信息。干预后，试验组有信息可获取的联系数量从21%显著增加到30%，而对照组则从23%降至19%。培训没有额外效果。所传递信息的内容在61.5%的情况下是充分的。两组之间信息内容的质量没有显著差异。
引入交接表使向全科医生合作机构传递的信息适度增加。然而，有此信息的联系的总百分比仍然相当低。全科医生合作机构应制定额外政策以改善信息传递。要点 非工作时间在提供最佳姑息治疗方面可能存在问题，通常是由于信息传递不足。 引入交接表使传递的信息适度增加。 在有信息可获取的情况下，姑息治疗联系的百分比仍然很低。 超过一半的情况下传递了充分的信息。
