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在竞争激烈的城市环境中,全科医生能在工作时间之外进行合作吗?

Can GPs co-operate after hours in a competitive urban environment?

作者信息

Del Mar C B, Lostroh D

机构信息

Medical School, University of Queensland.

出版信息

Aust Fam Physician. 1995 May;24(5):840, 842-4.

PMID:7794147
Abstract

Before designing an intervention aimed at improving the quality of after-hour general practice services to the residents of a relatively isolated outer suburb of Brisbane, a survey of 247 residents was conducted to assess the provisions of after-hours care. The results of the survey were presented to the suburb's general practitioners (GPs). Meetings with the GPs led to attempts at improved communication, using patient-held Health Summary Cards and doctor-to-doctor clinical feedback forms. Forty-four per cent of the 27 GPs participated in the co-operative scheme. One year later the community was resurveyed to assess the impact of the changes in medical services. There was a small but insignificant increase in satisfaction with the provision of after-hours care from 45% to 48%.

摘要

在设计一项旨在改善布里斯班一个相对偏远的近郊地区居民夜间全科医疗服务质量的干预措施之前,对247名居民进行了一项调查,以评估夜间护理的提供情况。调查结果已提交给该郊区的全科医生(GPs)。与全科医生的会议促使他们尝试通过使用患者持有的健康摘要卡和医生间临床反馈表来改善沟通。27名全科医生中有44%参与了合作计划。一年后,对该社区进行了重新调查,以评估医疗服务变化的影响。对夜间护理提供情况的满意度略有上升,从45%升至48%,但差异不显著。

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