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提高全科医生在城市医院的参与度。全科医学科室。

Improving general practitioner involvement in urban hospitals. Departments or divisions of general practice.

作者信息

Harris M F, Fisher R R, Knowlden S M

机构信息

School of Community Medicine, University of New South Wales, Kensington.

出版信息

Med J Aust. 1993 Mar 1;158(5):304-7. doi: 10.5694/j.1326-5377.1993.tb121782.x.

Abstract

OBJECTIVE

To discover what measures have been taken in urban Australian hospitals to involve general practitioners (GPs) in public hospital services.

DESIGN

A descriptive study. Data were collected by postal survey.

SETTING

Hospitals in urban areas.

MAIN OUTCOME MEASURES

Appointment of GP affiliates or associates, existence of departments or divisions of general practice, appointed GP liaison positions and formal arrangements for GP shared care and discharge planning.

RESULTS

Ninety-five of 102 hospitals (93%) responded to a postal survey. Sixty-five per cent of respondent hospitals had appointed GP affiliates or associates, 32% had a division or department of general practice and 41% had a designated GP liaison position. Forty per cent had formal GP shared care programs and 14% had formal GP involvement in discharge planning.

CONCLUSION

There was a high level of adoption of measures to involve GPs in urban hospitals. However, only a minority of hospitals had comprehensive measures in place and sufficient support for this to occur.

摘要

目的

了解澳大利亚城市医院采取了哪些措施让全科医生参与公立医院服务。

设计

描述性研究。通过邮寄调查问卷收集数据。

地点

城市地区的医院。

主要观察指标

全科医生附属人员或关联人员的任命情况、全科医疗科室的设立情况、指定的全科医生联络职位以及全科医生共同护理和出院计划的正式安排。

结果

102家医院中有95家(93%)回复了邮寄调查问卷。65%的受访医院任命了全科医生附属人员或关联人员,32%设有全科医疗科室,41%设有指定的全科医生联络职位。40%有正式的全科医生共同护理项目,14%有全科医生正式参与出院计划制定。

结论

城市医院采取措施让全科医生参与其中的比例很高。然而,只有少数医院制定了全面的措施并为此提供了足够的支持。

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