Sheehan Jacinta, Laver Kate, Bhopti Anoo, Rahja Miia, Usherwood Tim, Clemson Lindy, Lannin Natasha A
Department of Occupational Therapy, Social Work and Social Policy, School of Allied Health, La Trobe University, Melbourne, Australia.
Department of Rehabilitation, Aged and Extended Care, Flinders University, Adelaide, Australia.
J Multidiscip Healthc. 2021 Feb 22;14:493-511. doi: 10.2147/JMDH.S295549. eCollection 2021.
There is a compelling rationale that effective communication between hospital allied health and primary care practitioners may improve the quality and continuity of patient care. It is not known which methods of communication to use, nor how effectively they facilitate the transition of care when a patient is discharged home from hospital. Our systematic review aims to investigate the methods and effectiveness of communication between hospital allied health and primary care practitioners.
Systematic review of quantitative and qualitative studies with narrative synthesis. Medline, CINAHL, EMBASE, PsycInfo and Proquest Nursing and Allied Health Sources were searched from January 2003 until January 2020 for studies that examined hospital-based allied health professionals communicating with community-based primary care practitioners. Risk of bias in the different study designs was appraised using recognized tools and a content analysis conducted of the methodologies used.
From the located 12,281 papers (duplicates removed), 24 studies met the inclusion criteria with hospital allied health communicating in some form with primary care practitioners. While none of the included studies specifically investigated the methods or effectiveness of communication between hospital allied health and primary care practitioners, 12 of the 24 studies described processes that addressed components of their discharge communication. Four enablers to effective communication between hospital allied health and primary care practitioners were identified: multidisciplinary care plans, patient and caregiver involvement, health information technology and a designated person for follow up/care management.
There is currently no "gold standard" method or measure of communication between hospital allied health and primary care practitioners. There is an urgent need to develop and evaluate multidisciplinary communication with enhanced information technologies to improve collaboration across care settings and facilitate the continuity of integrated people-centered care.
有充分的理由认为，医院辅助医疗人员与初级保健从业者之间的有效沟通可能会提高患者护理的质量和连续性。目前尚不清楚应使用哪种沟通方法，也不清楚当患者从医院出院回家时，这些方法在促进护理过渡方面的效果如何。我们的系统评价旨在调查医院辅助医疗人员与初级保健从业者之间沟通的方法和效果。
对定量和定性研究进行系统评价，并进行叙述性综合分析。检索了2003年1月至2020年1月期间的Medline、CINAHL、EMBASE、PsycInfo以及Proquest护理与联合健康资源数据库，以查找有关医院辅助医疗专业人员与社区初级保健从业者沟通的研究。使用公认的工具评估不同研究设计中的偏倚风险，并对所使用的方法进行内容分析。
在找到的12281篇论文（去除重复项后）中，有24项研究符合纳入标准，其中医院辅助医疗人员与初级保健从业者进行了某种形式的沟通。虽然纳入的研究均未专门调查医院辅助医疗人员与初级保健从业者之间沟通的方法或效果，但24项研究中有12项描述了涉及出院沟通组成部分的流程。确定了医院辅助医疗人员与初级保健从业者之间有效沟通的四个促进因素：多学科护理计划、患者及护理人员参与、健康信息技术以及指定的随访/护理管理人员。
目前尚无医院辅助医疗人员与初级保健从业者之间沟通的“金标准”方法或衡量标准。迫切需要开发和评估利用增强信息技术的多学科沟通方式，以改善不同护理环境之间的协作，并促进以患者为中心的综合护理的连续性。
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