Burkey Y, Black M, Reeve H
National Primary Care Research and Development Centre, University of Manchester.
BMJ. 1997 Nov 1;315(7116):1138-41. doi: 10.1136/bmj.315.7116.1138.
To discover the views of patients about their discharge from outpatient clinics, to detect any change in these perceptions over time, and explore how the discharge process might be improved for the patient.
A qualitative study comprising in-depth or semistructured interviews with patients 2 weeks and 3 months after discharge from an outpatient clinic.
45 patients who had attended outpatient clinics on three or more occasions.
Five general medical outpatient clinics from a Manchester provider trust.
Aspects of the discharge consultation valued by patients included confidence that the doctor knew and understood their case; clarity of the discharge process; an explanation of the reasons for discharge; information about treatment, future care, and the mechanism for re-referral; and being seen by doctors who sought their views and allowed time for questions and reflection.
Patients' views about their discharge changed over time and varied in relation to several factors, which included patients' perceptions of the discharge process, patients' expectations, the way in which the outpatient clinics were organised, and patients' relationships with, and confidence in, their general practitioners.
了解患者对门诊出院的看法，检测这些认知随时间的变化情况，并探索如何改进患者的出院流程。
一项定性研究，包括在患者门诊出院后2周和3个月时进行深入或半结构化访谈。
45名曾三次或以上就诊于门诊的患者。
曼彻斯特一家医疗服务信托机构的五家普通内科门诊。
患者重视的出院咨询方面包括：对医生了解并理解其病情的信心；出院流程的清晰度；出院原因的解释；治疗、后续护理及再次转诊机制的信息；以及医生征求其意见并留出时间提问和思考。
患者对出院的看法随时间变化，且因多种因素而异，这些因素包括患者对出院流程的认知、患者期望、门诊的组织方式以及患者与全科医生的关系和对他们的信任。
