دورية أكاديمية
أعرض في EDS

Intersectoral cooperation between university hospitals and physicians in private practice in Germany- where the potential for optimization lies.

التفاصيل البيبلوغرافية
العنوان: Intersectoral cooperation between university hospitals and physicians in private practice in Germany- where the potential for optimization lies.
المؤلفون: Waeschle RM; Department of Anaesthesiology, University Medical Centre Göttingen, Robert-Koch-Str. 40, 37099, Göttingen, Germany. rwaeschle@med.uni-goettingen.de., Epperlein T; Department of Anaesthesiology, University Medical Centre Göttingen, Robert-Koch-Str. 40, 37099, Göttingen, Germany., Demmer I; Department of General Practice, University Medical Centre Göttingen, Göttingen, Germany., Hummers E; Department of General Practice, University Medical Centre Göttingen, Göttingen, Germany., Quintel Q; Department of Anaesthesiology, University Medical Centre Göttingen, Robert-Koch-Str. 40, 37099, Göttingen, Germany.
المصدر: BMC health services research [BMC Health Serv Res] 2024 Apr 22; Vol. 24 (1), pp. 497. Date of Electronic Publication: 2024 Apr 22.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Hospitals, University* , Private Practice*, Humans ; Germany ; Cross-Sectional Studies ; Surveys and Questionnaires ; Prospective Studies ; Male ; Female ; Intersectoral Collaboration ; Adult ; Middle Aged ; Attitude of Health Personnel ; Quality of Health Care ; Physicians/psychology
مستخلص: Background: Intersectoral cooperation between physicians in private practice and hospitals is highly relevant for ensuring the quality of medical care. However, the experiences and potential for optimization at this interface from the perspective of physicians in private practice have not yet been systematically investigated. The aim of this questionnaire survey was to record participants' experiences with regard to cooperation with university hospitals and to identify the potential for optimizing intersectoral cooperation.
Methods: We performed a prospective cross-sectional study using an online survey among practising physicians of all disciplines offering ambulatory care in Germany. The link to a 41-item questionnaire was sent via mail using a commercial mail distributor in which 1095 practising physicians participated. Baseline statistics were performed with SurveyMonkey and Excel.
Results: A total of 70.6%/722 of the responding physicians in private practice rated cooperation with university hospitals as satisfactory. Satisfaction with the quality of treatment was confirmed by 87.2%/956 of the physicians. The subjectively perceived complication rate in patient care was assessed as rare (80.9%/886). However, the median waiting time for patients in the inpatient discharge letter was 4 weeks. The accessibility of medical contact persons was rated as rather difficult by 52.6%/577 of the physicians. A total of 48.6%/629 of the participants considered better communication as an equal partner to be an important potential for optimization. Likewise, 65.2%/714 participants wished for closer cooperation in pre- and/or post inpatient care.
Conclusion: The following optimization potentials were identified: timely discharge letters, clear online presentations of clinical contacts, improved accessibility by telephone, introduction or further development of a referral portal, regular intersectoral training and/or "get-togethers", regular surveys of general practitioners and implementation of resulting measures, further development of cross-sectoral communication channels and strengthening of hospital IT.
(© 2024. The Author(s).)
References: Prof Case Manag. 2009 May-Jun;14(3):135-40; quiz 141-2. (PMID: 19474639)
Fam Pract. 2008 Apr;25(2):105-12. (PMID: 18417465)
Aust J Gen Pract. 2020 Dec;49(12):854-858. (PMID: 33254217)
Gesundheitswesen. 2014 Jun;76(6):359-65. (PMID: 23868649)
Emerg Med Australas. 2007 Aug;19(4):346-52. (PMID: 17655638)
JAMA. 2007 Feb 28;297(8):831-41. (PMID: 17327525)
BMC Health Serv Res. 2017 Nov 13;17(1):720. (PMID: 29132430)
Ir J Med Sci. 2017 May;186(2):455-459. (PMID: 26809947)
JAMA Intern Med. 2014 Jul;174(7):1095-107. (PMID: 24820131)
J Accid Emerg Med. 1996 Jul;13(4):280-2. (PMID: 8832351)
Health Inf Manag. 2007;36(1):7-12. (PMID: 18195392)
Ann Intern Med. 2010 Feb 16;152(4):247-58. (PMID: 20157139)
Z Evid Fortbild Qual Gesundhwes. 2008;102(5):307-12. (PMID: 19006918)
BMC Health Serv Res. 2021 Apr 15;21(1):349. (PMID: 33858383)
J Gen Intern Med. 2003 Aug;18(8):646-51. (PMID: 12911647)
Eur J Cancer Care (Engl). 2018 Jan;27(1):. (PMID: 28983996)
Dtsch Arztebl Int. 2011 Apr;108(15):255-61. (PMID: 21556263)
Am J Med Qual. 2013 Nov-Dec;28(6):472-9. (PMID: 23526358)
Sante Publique. 2014 Mar-Apr;26(2):189-97. (PMID: 25108960)
BMC Health Serv Res. 2009 Aug 08;9:143. (PMID: 19664238)
J Multidiscip Healthc. 2011;4:215-21. (PMID: 21811388)
JAMA Netw Open. 2020 Sep 1;3(9):e2012529. (PMID: 32902649)
Dtsch Med Wochenschr. 2022 Mar;147(5):269-272. (PMID: 35158386)
فهرسة مساهمة: Keywords: Collaboration; Intersectoral; Optimization potential; Private practices; University hospitals
تواريخ الأحداث: Date Created: 20240422 Date Completed: 20240424 Latest Revision: 20240426
رمز التحديث: 20240426
مُعرف محوري في PubMed: PMC11034040
DOI: 10.1186/s12913-024-10963-8
PMID: 38649877
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-024-10963-8