Hartveit Miriam, Hellesen Harald Bjarne, Helgeland Jostein, Thorsen Olav, Assmus Jörg, Biringer Eva
Department of Research and Innovation, Fonna Hospital Trust, Valen, Norway.
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
BJPsych Open. 2025 May 23;11(3):e113. doi: 10.1192/bjo.2025.56.
We investigated the quality of 100 discharge letters from mental health specialists to better understand the role of cross-sectoral communication in patients' readmissions or other unplanned recontacts with mental health specialist care. Using a case-control design, we compared 50 letters for patients readmitted or for whom a formal request for additional specialist mental healthcare was made by the patient's GP (recontact) within 30 days of discharge, and 50 letters for those without readmission or recontact. The 26-item checklist Quality of Discharge letters - Mental Health was used to assess discharge letter quality. No significant differences in total checklist scores were found, suggesting that discharge letter quality does not influence the rates of readmission or unplanned recontact in mental healthcare.
我们调查了100封精神科专科医生出具的出院小结，以更好地理解跨部门沟通在患者再次入院或与精神科专科护理进行其他非计划内再次接触中所起的作用。采用病例对照设计，我们比较了50封出院小结，这些小结涉及出院后30天内再次入院的患者或其全科医生（GP）提出正式额外精神科专科护理请求（再次接触）的患者，以及50封涉及未再次入院或未再次接触患者的出院小结。使用26项的《出院小结质量 - 精神科》清单来评估出院小结质量。未发现清单总分有显著差异，这表明出院小结质量不会影响精神科护理中的再次入院率或非计划内再次接触率。
