Waeschle R M, Epperlein T, Demmer I, Hummers E, Quintel Q
Department of Anaesthesiology, University Medical Centre Göttingen, Robert-Koch-Str. 40, 37099, Göttingen, Germany.
Department of General Practice, University Medical Centre Göttingen, Göttingen, Germany.
BMC Health Serv Res. 2024 Apr 22;24(1):497. doi: 10.1186/s12913-024-10963-8.
Intersectoral cooperation between physicians in private practice and hospitals is highly relevant for ensuring the quality of medical care. However, the experiences and potential for optimization at this interface from the perspective of physicians in private practice have not yet been systematically investigated. The aim of this questionnaire survey was to record participants' experiences with regard to cooperation with university hospitals and to identify the potential for optimizing intersectoral cooperation.
We performed a prospective cross-sectional study using an online survey among practising physicians of all disciplines offering ambulatory care in Germany. The link to a 41-item questionnaire was sent via mail using a commercial mail distributor in which 1095 practising physicians participated. Baseline statistics were performed with SurveyMonkey and Excel.
A total of 70.6%/722 of the responding physicians in private practice rated cooperation with university hospitals as satisfactory. Satisfaction with the quality of treatment was confirmed by 87.2%/956 of the physicians. The subjectively perceived complication rate in patient care was assessed as rare (80.9%/886). However, the median waiting time for patients in the inpatient discharge letter was 4 weeks. The accessibility of medical contact persons was rated as rather difficult by 52.6%/577 of the physicians. A total of 48.6%/629 of the participants considered better communication as an equal partner to be an important potential for optimization. Likewise, 65.2%/714 participants wished for closer cooperation in pre- and/or post inpatient care.
The following optimization potentials were identified: timely discharge letters, clear online presentations of clinical contacts, improved accessibility by telephone, introduction or further development of a referral portal, regular intersectoral training and/or "get-togethers", regular surveys of general practitioners and implementation of resulting measures, further development of cross-sectoral communication channels and strengthening of hospital IT.
私人执业医生与医院之间的跨部门合作对于确保医疗质量至关重要。然而，从私人执业医生的角度来看，在这个界面上的经验和优化潜力尚未得到系统研究。本次问卷调查的目的是记录参与者与大学医院合作的经验，并确定优化跨部门合作的潜力。
我们通过在线调查对德国所有提供门诊护理的各学科执业医生进行了一项前瞻性横断面研究。使用商业邮件分发商通过邮件发送了一份包含41个项目的问卷链接，共有1095名执业医生参与。使用SurveyMonkey和Excel进行基线统计。
共有70.6%（722名）的私人执业回应医生将与大学医院的合作评为满意。87.2%（956名）的医生确认对治疗质量感到满意。患者护理中主观感知的并发症发生率被评估为罕见（80.9%，886名）。然而，患者住院出院信的中位等待时间为4周。52.6%（577名）的医生认为与医疗联系人的沟通相当困难。共有48.6%（629名）的参与者认为作为平等伙伴进行更好的沟通是一个重要的优化潜力。同样，65.2%（714名）的参与者希望在住院前和/或住院后护理方面加强合作。
确定了以下优化潜力：及时发出出院信、清晰在线展示临床联系人、改善电话沟通便利性、引入或进一步开发转诊门户、定期进行跨部门培训和/或“聚会”、定期对全科医生进行调查并实施相应措施、进一步开发跨部门沟通渠道以及加强医院信息技术。
