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医生对出院小结目标群体及内容的态度:奥地利施蒂利亚州的一项横断面分析

Attitudes of physicians towards target groups and content of the discharge summary: a cross-sectional analysis in Styria, Austria.

作者信息

Hoffmann Magdalena, Schwarz Christine Maria, Pregartner Gudrun, Weinrauch Maximilian, Jantscher Lydia, Kamolz Lars, Brunner Gernot, Sendlhofer Gerald

机构信息

Executive Department for Quality and Risk Management, Hospital of the Federal State of Styria and University Hospital Graz, Graz, Austria.

Research Unit for Safety in Health, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

出版信息

BMJ Open. 2019 Dec 17;9(12):e034857. doi: 10.1136/bmjopen-2019-034857.

Abstract

OBJECTIVES

The discharge summary (DS) represents one of the most important instruments to ensure a safe patient discharge from the hospital. They sometimes have poor quality in content and often include medical jargon, which the patient and their relatives cannot easily understand. Therefore, many risks for patient safety exist. This study investigated the questions for whom the DS is and which contents are necessary to ensure a safe treatment.

DESIGN

Cross-sectional analysis.

SETTING

Styria, Austria.

PARTICIPANTS

3948 internal and external physicians were consulted.

INTERVENTIONS

An online survey consisting of 24 questions was conducted. The survey was distributed to physicians working in the province of Styria, Austria, in 2018 over a period of 6 months.

MAIN OUTCOMES AND MEASURES

Attitudes of internal and external physicians in terms of target group, content and health literacy.

RESULTS

In total, 1060 physicians participated in the survey. The DS is considered as a communication tool among physicians (97.9%) and the patients are also indicated as addressees (73.5%). Furthermore, there is a high level of agreement that understandable information in the DS leads to fewer questions of the patients (67.9%).

CONCLUSION

In conclusion, the DS is not only seen as a document for the further treating physician but is also relevant for the patient. Incorporating the patient into their treatment at all levels may possibly strengthen the individual health literacy of the patient and their caring relatives.

摘要

目的

出院小结(DS)是确保患者安全出院的最重要工具之一。其内容质量有时较差,且常常包含患者及其亲属难以理解的医学术语。因此,存在许多影响患者安全的风险。本研究调查了出院小结是面向谁的以及确保安全治疗需要哪些内容的问题。

设计

横断面分析。

地点

奥地利施蒂利亚州。

参与者

咨询了3948名内科和外科医生。

干预措施

开展了一项包含24个问题的在线调查。该调查于2018年在6个月的时间内分发给奥地利施蒂利亚州工作的医生。

主要结局和衡量指标

内科和外科医生在目标群体、内容和健康素养方面的态度。

结果

共有1060名医生参与了调查。出院小结被视为医生之间的沟通工具(97.9%),患者也被列为受众(73.5%)。此外,人们高度认同出院小结中易懂的信息会减少患者的疑问(67.9%)。

结论

总之,出院小结不仅被视为供后续治疗医生参考的文件,对患者也很重要。让患者全面参与其治疗可能会增强患者及其护理亲属的个人健康素养。

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