Tomaschek Rebecca, Gemperli Armin, Essig Stefan
Center for Primary and Community Care, Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Swiss Paraplegic Research, Nottwil, Switzerland.
J Spinal Cord Med. 2024 May;47(3):423-431. doi: 10.1080/10790268.2022.2097996. Epub 2022 Nov 28.
CONTEXT/OBJECTIVE: Strategies to combine primary and specialized care are crucial to meet the needs of individuals with spinal cord injury (SCI) located in rural areas. We explored the collaboration between general practitioners (GPs) and SCI specialists who will participate in an intervention study to improve their collaboration.
A questionnaire survey from August to October 2020.
Primary Care, Specialized SCI care.
Eight GPs and 13 SCI specialists.
Baseline results from the SCI-Co study.
N/A.
Overall, satisfaction ratings for the collaboration between GPs and SCI specialists were high, and all physicians agreed that they work together well. Especially, SCI specialists were satisfied in collaborating with GPs. Despite Switzerland's fragmented primary and secondary care system, only a few physicians reported about issues with delays and waiting lists. While GPs wanted to improve the quality of their referral, most SCI specialists reported being content with it. GPs were also discontent about discharge organization by specialists.
Satisfaction with collaboration was high, both in GPs and specialists. Areas for improvement include discharge and referral processes.
背景/目的：整合初级保健和专科护理的策略对于满足农村地区脊髓损伤（SCI）患者的需求至关重要。我们探讨了全科医生（GPs）与SCI专科医生之间的合作情况，这些医生将参与一项干预研究以改善他们之间的合作。
2020年8月至10月进行问卷调查。
初级保健、专科SCI护理。
8名全科医生和13名SCI专科医生。
SCI-Co研究的基线结果。
无。
总体而言，全科医生与SCI专科医生之间合作的满意度较高，所有医生都认为他们合作良好。特别是，SCI专科医生对与全科医生的合作感到满意。尽管瑞士的初级和二级护理系统分散，但只有少数医生报告了延误和候诊名单方面的问题。虽然全科医生希望提高转诊质量，但大多数SCI专科医生表示对此感到满意。全科医生也对专科医生的出院安排不满。
全科医生和专科医生对合作的满意度都很高。需要改进的方面包括出院和转诊流程。
