Munday A, Kelly B, Forrester J W, Timoney A, McGovern E
Pharmacy Department, Glasgow Royal Infirmary University NHS Trust.
Br J Gen Pract. 1997 Sep;47(422):563-6.
The content of discharge prescriptions/summaries to improve communication about medication provided at discharge has been the subject of recent studies. To date, the authors are not aware of any literature that assesses the need for primary care health professionals to receive information on reasons for drug therapy changes incurred during hospital admission. Owing to increased emphasis on seamless care, patient education, and increased accountability for drug costs, general practitioners (GPs) and community pharmacists may consider the receipt of information on the reasons for drug therapy changes incurred during hospital admission to be an essential requirement.
To determine whether GPs and community pharmacists want, and receive, information on the reasons for drug therapy changes implemented by secondary care. The preferred method of acquiring this information is also investigated.
A questionnaire was posted to all GPs and community pharmacists within the catchment area of Glasgow Royal Infirmary University NHS Trust. Data were collected between June 1995 and July 1995.
Replies were received from 71 (64%) GPs and 33 (80%) community pharmacists. Of the respondents, 96% of GPs and 94% of community pharmacists would like information on one or more reason types for drug therapy changes, but the majority do not receive the desired information. Ninety per cent of GPs and 85% of community pharmacists seek this information of facilitate continuity of patient care. The preferred method of receiving the information is by postal delivery via a modified hospital discharge prescription.
The existing hospital discharge prescription requires modification to facilitate the completion of the reasons for drug therapy changes. The issue of patient-held cards requires consideration. These factors may facilitate continuity of patient care on hospital discharge.
出院处方/小结的内容对于改善出院时提供的药物治疗沟通情况，已成为近期研究的主题。迄今为止，作者尚未发现有任何文献评估初级保健健康专业人员获取住院期间药物治疗变更原因信息的必要性。由于对无缝护理、患者教育的重视程度不断提高，以及对药物成本问责制的加强，全科医生（GPs）和社区药剂师可能会认为获取住院期间药物治疗变更原因的信息是一项基本要求。
确定全科医生和社区药剂师是否希望并能获取二级医疗实施的药物治疗变更原因的信息。同时还对获取该信息的首选方法进行了调查。
向格拉斯哥皇家医院大学国民保健服务信托基金辖区内的所有全科医生和社区药剂师发放了一份调查问卷。数据收集时间为1995年6月至1995年7月。
共收到71名（64%）全科医生和33名（80%）社区药剂师的回复。在受访者中，96%的全科医生和94%的社区药剂师希望获得一种或多种药物治疗变更原因类型的信息，但大多数人并未收到所需信息。90%的全科医生和85%的社区药剂师寻求此类信息以促进患者护理的连续性。获取信息的首选方法是通过修改后的医院出院处方邮寄。
现有的医院出院处方需要修改，以方便填写药物治疗变更的原因。患者持有卡片的问题也需要考虑。这些因素可能有助于患者出院后护理的连续性。
