Townsville University Hospital, Townsville, Qld 4814, Australia; and James Cook University, Townsville, Qld 4814, Australia.
Townsville University Hospital, Townsville, Qld 4814, Australia.
Aust J Prim Health. 2023 Oct;29(5):405-415. doi: 10.1071/PY22231.
Transitions of patient care between hospital discharge and primary care are known to be an area of high-risk where communication is imperative for patient safety. Discharge summaries are known to often be incomplete, delayed and unhelpful for community healthcare providers. The aim of this review was to identify and map the literature which discusses Australian general practitioners' (GPs) views on the qualities that make up effective discharge communication. Medline, Scopus and the Cochrane register of controlled drug trails and systematic reviews were searched for publications until October 2021 that discussed Australian GPs' views on discharge communication from hospital to general practice. Of 1696 articles identified, 18 met inclusion and critical appraisal criteria. Five studies identified that GPs view timeliness of discharge summary receipt to be a problem. Communication of medication information in the discharge summary was discussed in six studies, with two reporting that GPs view reasons for medication changes to be essential. Five studies noted GPs would prefer to receive clinical discipline or diagnosis specific information. Four studies identified that GPs viewed the format and readability of discharge summaries to be problematic, with difficulties finding salient information. The findings of this scoping review indicate that GPs view timeliness, completeness, readability, medication related information and diagnosis/clinical discipline specific information to be qualities that make up effective discharge communication from hospital to the community. There are opportunities for further research in perspectives of effective discharge communication, and future studies on interventions to improve discharge communication, patient safety and policy in transfers of care.
患者在出院和初级保健之间的护理过渡被认为是一个高风险领域，在这个领域，沟通对于患者安全至关重要。出院总结往往是不完整的，延迟的，对社区医疗保健提供者没有帮助。本综述的目的是确定并绘制文献，讨论澳大利亚全科医生（GP）对构成有效出院沟通的质量的看法。直到 2021 年 10 月，在 Medline、Scopus 和 Cochrane 对照药物试验和系统评价登记处搜索了讨论澳大利亚全科医生对从医院到一般实践的出院沟通的看法的出版物。在确定的 1696 篇文章中，有 18 篇符合纳入和批判性评价标准。五项研究确定全科医生认为收到出院总结的及时性是一个问题。有六项研究讨论了出院总结中药物信息的沟通，其中两项研究报告全科医生认为药物变化的原因是必不可少的。五项研究指出全科医生更希望收到临床学科或诊断特定的信息。四项研究发现全科医生认为出院总结的格式和可读性存在问题，很难找到突出的信息。这一范围综述的结果表明，全科医生认为及时性、完整性、可读性、与药物相关的信息以及诊断/临床学科特定的信息是构成从医院到社区的有效出院沟通的质量。在有效出院沟通的观点、改善出院沟通、患者安全和护理转移政策的干预措施方面，有进一步研究的机会。
