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A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice

OBJECTIVE: To determine how the timing and length of hospital discharge letters impact on the number of ongoing patient problems identified by general practitioners (GPs). TRIAL DESIGN: GPs were randomised into four groups. Each viewed a video monologue of an actor-patient as he might present to his...

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Autores principales: Jiwa, Moyez, Meng, Xingqiong, O'Shea, Carolyn, Magin, Parker, Dadich, Ann, Pillai, Vinita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091507/
https://www.ncbi.nlm.nih.gov/pubmed/25005597
http://dx.doi.org/10.1136/bmjopen-2014-005475
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author Jiwa, Moyez
Meng, Xingqiong
O'Shea, Carolyn
Magin, Parker
Dadich, Ann
Pillai, Vinita
author_facet Jiwa, Moyez
Meng, Xingqiong
O'Shea, Carolyn
Magin, Parker
Dadich, Ann
Pillai, Vinita
author_sort Jiwa, Moyez
collection PubMed
description OBJECTIVE: To determine how the timing and length of hospital discharge letters impact on the number of ongoing patient problems identified by general practitioners (GPs). TRIAL DESIGN: GPs were randomised into four groups. Each viewed a video monologue of an actor-patient as he might present to his GP following a hospital admission with 10 problems. GPs were provided with a medical record as well as a long or short discharge letter, which was available when the video was viewed or 1 week later. GPs indicated if they would prescribe, refer or order tests for the patient's problems. METHODS: Setting Primary care. Participants Practising Australian GPs. Intervention A short or long hospital discharge letter enumerating patient problems. Outcome measure Number of ongoing patient problems out of 10 identified for management by the GPs. Randomisation 1:1 randomisation. Blinding (masking) Single-blind. RESULTS: Numbers randomised 59 GPs. Recruitment GPs were recruited from a network of 102 GPs across Australia. Numbers analysed 59 GPs. Outcome GPs who received the long letter immediately were more satisfied with this information (p<0.001). Those who received the letter immediately identified significantly more health problems (p=0.001). GPs who received a short, delayed discharge letter were less satisfied than those who received a longer delayed letter (p=0.03); however, both groups who received the delayed letter identified a similar number of health problems. GPs who were older, who practised in an inner regional area or who offered more patient sessions per week identified fewer health problems (p values <0.01, <0.05 and <0.05, respectively). Harms Nil. CONCLUSIONS: Receiving information during patient consultation, as well as GP characteristics, influences the number of patient problems addressed. TRIAL REGISTRATION NUMBER: ACTRN12614000403639.
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spelling pubmed-40915072014-07-11 A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice Jiwa, Moyez Meng, Xingqiong O'Shea, Carolyn Magin, Parker Dadich, Ann Pillai, Vinita BMJ Open General practice / Family practice OBJECTIVE: To determine how the timing and length of hospital discharge letters impact on the number of ongoing patient problems identified by general practitioners (GPs). TRIAL DESIGN: GPs were randomised into four groups. Each viewed a video monologue of an actor-patient as he might present to his GP following a hospital admission with 10 problems. GPs were provided with a medical record as well as a long or short discharge letter, which was available when the video was viewed or 1 week later. GPs indicated if they would prescribe, refer or order tests for the patient's problems. METHODS: Setting Primary care. Participants Practising Australian GPs. Intervention A short or long hospital discharge letter enumerating patient problems. Outcome measure Number of ongoing patient problems out of 10 identified for management by the GPs. Randomisation 1:1 randomisation. Blinding (masking) Single-blind. RESULTS: Numbers randomised 59 GPs. Recruitment GPs were recruited from a network of 102 GPs across Australia. Numbers analysed 59 GPs. Outcome GPs who received the long letter immediately were more satisfied with this information (p<0.001). Those who received the letter immediately identified significantly more health problems (p=0.001). GPs who received a short, delayed discharge letter were less satisfied than those who received a longer delayed letter (p=0.03); however, both groups who received the delayed letter identified a similar number of health problems. GPs who were older, who practised in an inner regional area or who offered more patient sessions per week identified fewer health problems (p values <0.01, <0.05 and <0.05, respectively). Harms Nil. CONCLUSIONS: Receiving information during patient consultation, as well as GP characteristics, influences the number of patient problems addressed. TRIAL REGISTRATION NUMBER: ACTRN12614000403639. BMJ Publishing Group 2014-07-08 /pmc/articles/PMC4091507/ /pubmed/25005597 http://dx.doi.org/10.1136/bmjopen-2014-005475 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle General practice / Family practice
Jiwa, Moyez
Meng, Xingqiong
O'Shea, Carolyn
Magin, Parker
Dadich, Ann
Pillai, Vinita
A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice
title A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice
title_full A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice
title_fullStr A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice
title_full_unstemmed A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice
title_short A randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice
title_sort randomised trial deploying a simulation to investigate the impact of hospital discharge letters on patient care in general practice
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091507/
https://www.ncbi.nlm.nih.gov/pubmed/25005597
http://dx.doi.org/10.1136/bmjopen-2014-005475
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