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癌症护理领域专家与全科医生之间的书面沟通。期望是什么,又是如何实现的?

Written communication from specialists to general practitioners in cancer care. What are the expectations and how are they met?

作者信息

Stålhammar J, Holmberg L, Svärdsudd K, Tibblin G

机构信息

Department of Family Medicine, Uppsala University, Sweden.

出版信息

Scand J Prim Health Care. 1998 Sep;16(3):154-9. doi: 10.1080/028134398750003106.

DOI:10.1080/028134398750003106
PMID:9800228
Abstract

OBJECTIVE

To examine how general practitioners (GPs) and specialists assess the importance of different aspects of information regarding cancer treatment in the discharge letter from the hospital.

DESIGN

A postal questionnaire study among GPs in two Swedish counties and cancer specialists (oncologists, surgeons and urologists) in six Swedish counties.

SUBJECTS

Two hundred and four GPs and 48 cancer specialists.

MAIN OUTCOME

Self-evaluation and assessment of the counterparts' evaluation of 17 items concerning cancer care in a discharge letter from hospital specialists to GPs.

RESULTS

GPs, especially female GPs, generally rated the items higher than the cancer specialists. The differences were most pronounced in items concerning caring and psychosocial dimensions. Concerning the assessment of the other MD group, GPs deemed specialists as more interested in technical items and less interested in psychosocial items than themselves, whereas specialists believed that GPs had a similar view as themselves.

CONCLUSION

The differences in self-evaluation and assessment of the other MD groups evaluation of the content in a discharge letter, concerning cancer patients from hospital specialists to GPs, might reflect different professional strategies in cancer management and hamper the efficiency in the shared care of these patients.

摘要

目的

探讨全科医生(GPs)和专科医生如何评估医院出院小结中癌症治疗相关不同方面信息的重要性。

设计

对瑞典两个县的全科医生以及瑞典六个县的癌症专科医生(肿瘤学家、外科医生和泌尿科医生)进行邮政问卷调查研究。

研究对象

204名全科医生和48名癌症专科医生。

主要结果

对医院专科医生给全科医生的出院小结中关于癌症护理的17项内容进行自我评价以及对同行评价进行评估。

结果

全科医生,尤其是女全科医生,通常对这些项目的评分高于癌症专科医生。在涉及护理和社会心理层面的项目中差异最为明显。关于对另一医学群体的评估,全科医生认为专科医生对技术项目更感兴趣,而对社会心理项目的兴趣不如他们自己,而专科医生则认为全科医生与他们的看法相似。

结论

医院专科医生给全科医生的关于癌症患者出院小结内容的自我评价以及对另一医学群体评价的评估差异,可能反映了癌症管理中不同的专业策略,并妨碍了这些患者共同护理的效率。

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