Caleres Gabriella, Strandberg Eva Lena, Bondesson Åsa, Midlöv Patrik, Modig Sara
Department of Clinical Sciences in Malmö/Family Medicine, Center for Primary Health Care Research, Lund University, Jan Waldenströms gata 35, SE-205 02, Malmö, Sweden.
Department of Medicines Management and Informatics in Skåne County, Kristianstad, Sweden.
BMC Fam Pract. 2018 Jul 25;19(1):127. doi: 10.1186/s12875-018-0804-8.
Discharge summary with medication report effectively counteracts drug-related problems due to insufficient information transfer in care transitions. The benefits of the discharge summary may be lost if it is not adequately used, and factors affecting optimal use by the GP are of interest. Since the views of Swedish GPs are unexplored, this study aimed to explore and understand GPs experiences, perceptions and feelings regarding the use of the discharge summary with medication report.
This qualitative study was based on four focus group discussion with 18 GPs and resident physicians in family medicine which were performed in 2016 and 2017. A semi-structured interview guide was used. The interviews were transcribed verbatim and analysed using qualitative content analysis.
The analysis resulted in three final main themes: "Importance of the discharge summary", "Role of the GP" and "Create dialogue" with six categories; "Benefits for the GP and perceived benefits for the patient", "GP use of the information", "Significance of different documents", "Spider in the web", "Terminus/End station" and "Improved information transfer in care transitions". Overall, the participants described clear benefits with the discharge summary when accurate although perceived deficiencies were also quite rife.
The GPs experiences and views of the discharge summary revealed clear benefits regarding mainly medication information, awareness of any plans as well as shared knowledge with the patient. However, perceived deficiencies of the discharge summary affected its use by the GP and enhanced communication was called for.
出院小结及用药报告可有效应对因护理转接过程中信息传递不足而导致的药物相关问题。如果出院小结未得到充分利用，其益处可能会丧失，而影响全科医生（GP）最佳使用的因素值得关注。由于瑞典全科医生的观点尚未得到探讨，本研究旨在探索并了解全科医生对出院小结及用药报告使用的经验、看法和感受。
本定性研究基于2016年和2017年与18名全科医生及家庭医学住院医师进行的四次焦点小组讨论。使用了半结构化访谈指南。访谈内容逐字记录，并采用定性内容分析法进行分析。
分析得出三个最终主要主题：“出院小结的重要性”、“全科医生的角色”和“建立对话”，共六个类别：“对全科医生的益处及对患者的感知益处”、“全科医生对信息的使用”、“不同文件的重要性”、“网络中的蜘蛛”、“终点/终点站”和“护理转接中改善的信息传递”。总体而言，参与者描述了准确的出院小结带来的明显益处，尽管也普遍存在感知到的不足之处。
全科医生对出院小结的经验和看法显示，主要在用药信息、对任何计划的认知以及与患者共享知识方面有明显益处。然而，出院小结存在的感知不足之处影响了全科医生对其的使用，因此需要加强沟通。
