Long A, Atkins J B
Br Med J. 1974 Nov 23;4(5942):456-9. doi: 10.1136/bmj.4.5942.456.
During 1972-3 a survey was made of the pattern of communication between 80 consultants in four hospitals in south-east England and 100 general practitioners in the catchment areas of these hospitals. This aimed to identify the factors which affect the efficiency of communication between these two groups and to look for ways of improving this.Face to face contact between consultants and general practitioners was extremely limited. The main communication links were the letters of referral and discharge, but even this form of communication had serious defects. Though most doctors were satisfied with communications in general the evidence suggested ways of improving communication between consultants and general practitioners, such as encouraging domiciliary visits where both doctors are present and consultant sessions in health centres, but that any innovation in this field could only be successful if the attitude of the consultants and general practitioners were in harmony with the new venture.
1972年至1973年期间，对英格兰东南部四家医院的80名顾问医师与这些医院服务区域内的100名全科医生之间的沟通模式进行了一项调查。其目的是确定影响这两组人员之间沟通效率的因素，并寻找改善沟通的方法。顾问医师与全科医生之间的面对面接触极为有限。主要的沟通方式是转诊信和出院信，但即使是这种沟通形式也存在严重缺陷。尽管大多数医生总体上对沟通情况感到满意，但有证据表明存在改善顾问医师与全科医生之间沟通的方法，比如鼓励双方在场的上门问诊以及在健康中心安排顾问医师会诊，但该领域的任何创新只有在顾问医师和全科医生的态度与新举措相契合时才可能成功。
