Neville R G
J R Coll Gen Pract. 1987 Nov;37(304):496-7.
Information from hospital doctors about the death of a patient in hospital is important to general practitioners. Six general practices in the Dundee district recorded the date and place of death for all 272 practice patients dying over a 14-month period. In the 193 cases (71%) for which the hospital was responsible for informing the practice of the death the method by which the practice first learned of the death and the time interval between death and the writing of the official hospital letter was also recorded. An immediate telephone call, the established method of informing practices of deaths occurring in hospital took place in only 58% of cases and the letter from hospital was sent within one week in only 49% of cases. These proportions were unaltered by the issue of a unit medical circular to hospital staff informing them of the problem and requesting more prompt notification.The ability of general practitioners to help bereaved relatives is compromised by the present inadequacies in communication between hospitals and general practice. The unit medical circular - the standard method of resolving interprofessional problems - would appear to be ineffective.
医院医生提供的关于患者在医院死亡的信息对全科医生很重要。邓迪地区的六个全科诊所记录了在14个月期间内所有272名在诊所登记的患者的死亡日期和地点。在医院负责通知诊所患者死亡的193例（71%）病例中，还记录了诊所首次得知死亡的方式以及死亡与医院正式信函发出之间的时间间隔。作为通知医院内患者死亡的既定方式，即时电话通知仅发生在58%的病例中，而医院信件在一周内发出的仅占49%。向医院工作人员发布单位医疗通知，告知他们该问题并要求更及时的通知后，这些比例并未改变。目前医院与全科医疗之间沟通不足，损害了全科医生帮助丧亲家属的能力。单位医疗通知作为解决跨专业问题的标准方法，似乎没有效果。
