Information transfer to out-of-hours co-operatives: a survey of general practitioners' views in relation to palliative patients.

Hdl Handle:
http://hdl.handle.net/10147/348547
Title:
Information transfer to out-of-hours co-operatives: a survey of general practitioners' views in relation to palliative patients.
Authors:
Kiely, Fiona; Murphy, Marie; O'Brien, Tony
Citation:
Information transfer to out-of-hours co-operatives: a survey of general practitioners' views in relation to palliative patients. 2013, 3 (4):405-11 BMJ Support Palliat Care
Publisher:
BMJ Publishing Group Ltd
Journal:
BMJ supportive & palliative care
Issue Date:
Dec-2013
URI:
http://hdl.handle.net/10147/348547
DOI:
10.1136/bmjspcare-2012-000281
PubMed ID:
24950520
Additional Links:
http://spcare.bmj.com/content/early/2012/11/20/bmjspcare-2012-000281
Abstract:
In Ireland, weekend and night medical cover for community based patients is largely provided by general practice co-operatives. Doctors working in this service do not have direct access to patients' medical records which challenges continuity of care.; This study investigates the opinion of general practitioners (GPs) on the potential value of a formalised method of information transfer regarding their palliative patients to out-of-hours GP co-operatives. The survey was designed to identify the information that is necessary to offer appropriate anticipated end-of-life care.; A questionnaire was sent to all 414 GPs registered in the Irish Medical Directory in the southwest of Ireland. Data were analysed with Microsoft Excel and SPSS V.12.0.; 52% response rate with exclusion of incomplete questionnaires allowed analysis of 212 data sets. Currently, 82% of GPs do not routinely transfer information pertaining to end-of-life issues to the out-of-hours service. Despite this, 96% would value a standardised way of transferring information. 67% felt they sometimes refer unnecessarily to hospital emergency departments due to lack of information. The most important items of information identified by study participants are as follows: ▸ Diagnosis (97%) ▸ Medications (94%) ▸ Patient insight (91%) ▸ Patient wishes regarding end-of-life care (90%) ▸ Anticipated problems and suggested management(90%).; A structured format for information transfer regarding end-of-life care is deemed important by GPs when working on-call at night and weekends. Diagnosis, patient preference and management plans are valued.
Item Type:
Article
Language:
en
Description:
BACKGROUND: In Ireland, weekend and night medical cover for community based patients is largely provided by general practice co-operatives. Doctors working in this service do not have direct access to patients' medical records which challenges continuity of care. OBJECTIVES: This study investigates the opinion of general practitioners (GPs) on the potential value of a formalised method of information transfer regarding their palliative patients to out-of-hours GP co-operatives. The survey was designed to identify the information that is necessary to offer appropriate anticipated end-of-life care. METHODS: A questionnaire was sent to all 414 GPs registered in the Irish Medical Directory in the southwest of Ireland. Data were analysed with Microsoft Excel and SPSS V.12.0. RESULTS: 52% response rate with exclusion of incomplete questionnaires allowed analysis of 212 data sets. Currently, 82% of GPs do not routinely transfer information pertaining to end-of-life issues to the out-of-hours service. Despite this, 96% would value a standardised way of transferring information. 67% felt they sometimes refer unnecessarily to hospital emergency departments due to lack of information. The most important items of information identified by study participants are as follows: ▸ Diagnosis (97%) ▸ Medications (94%) ▸ Patient insight (91%) ▸ Patient wishes regarding end-of-life care (90%) ▸ Anticipated problems and suggested management(90%). CONCLUSIONS: A structured format for information transfer regarding end-of-life care is deemed important by GPs when working on-call at night and weekends. Diagnosis, patient preference and management plans are valued
Keywords:
COMMUNICATION; SERVICE EVALUATION; END OF LIFE; PALLIATIVE CARE; COMMUNITY HEALTH
ISSN:
2045-4368

Full metadata record

DC FieldValue Language
dc.contributor.authorKiely, Fionaen
dc.contributor.authorMurphy, Marieen
dc.contributor.authorO'Brien, Tonyen
dc.date.accessioned2015-04-07T08:14:39Zen
dc.date.available2015-04-07T08:14:39Zen
dc.date.issued2013-12en
dc.identifier.citationInformation transfer to out-of-hours co-operatives: a survey of general practitioners' views in relation to palliative patients. 2013, 3 (4):405-11 BMJ Support Palliat Careen
dc.identifier.issn2045-4368en
dc.identifier.pmid24950520en
dc.identifier.doi10.1136/bmjspcare-2012-000281en
dc.identifier.urihttp://hdl.handle.net/10147/348547en
dc.descriptionBACKGROUND: In Ireland, weekend and night medical cover for community based patients is largely provided by general practice co-operatives. Doctors working in this service do not have direct access to patients' medical records which challenges continuity of care. OBJECTIVES: This study investigates the opinion of general practitioners (GPs) on the potential value of a formalised method of information transfer regarding their palliative patients to out-of-hours GP co-operatives. The survey was designed to identify the information that is necessary to offer appropriate anticipated end-of-life care. METHODS: A questionnaire was sent to all 414 GPs registered in the Irish Medical Directory in the southwest of Ireland. Data were analysed with Microsoft Excel and SPSS V.12.0. RESULTS: 52% response rate with exclusion of incomplete questionnaires allowed analysis of 212 data sets. Currently, 82% of GPs do not routinely transfer information pertaining to end-of-life issues to the out-of-hours service. Despite this, 96% would value a standardised way of transferring information. 67% felt they sometimes refer unnecessarily to hospital emergency departments due to lack of information. The most important items of information identified by study participants are as follows: ▸ Diagnosis (97%) ▸ Medications (94%) ▸ Patient insight (91%) ▸ Patient wishes regarding end-of-life care (90%) ▸ Anticipated problems and suggested management(90%). CONCLUSIONS: A structured format for information transfer regarding end-of-life care is deemed important by GPs when working on-call at night and weekends. Diagnosis, patient preference and management plans are valueden
dc.description.abstractIn Ireland, weekend and night medical cover for community based patients is largely provided by general practice co-operatives. Doctors working in this service do not have direct access to patients' medical records which challenges continuity of care.en
dc.description.abstractThis study investigates the opinion of general practitioners (GPs) on the potential value of a formalised method of information transfer regarding their palliative patients to out-of-hours GP co-operatives. The survey was designed to identify the information that is necessary to offer appropriate anticipated end-of-life care.en
dc.description.abstractA questionnaire was sent to all 414 GPs registered in the Irish Medical Directory in the southwest of Ireland. Data were analysed with Microsoft Excel and SPSS V.12.0.en
dc.description.abstract52% response rate with exclusion of incomplete questionnaires allowed analysis of 212 data sets. Currently, 82% of GPs do not routinely transfer information pertaining to end-of-life issues to the out-of-hours service. Despite this, 96% would value a standardised way of transferring information. 67% felt they sometimes refer unnecessarily to hospital emergency departments due to lack of information. The most important items of information identified by study participants are as follows: ▸ Diagnosis (97%) ▸ Medications (94%) ▸ Patient insight (91%) ▸ Patient wishes regarding end-of-life care (90%) ▸ Anticipated problems and suggested management(90%).en
dc.description.abstractA structured format for information transfer regarding end-of-life care is deemed important by GPs when working on-call at night and weekends. Diagnosis, patient preference and management plans are valued.en
dc.language.isoenen
dc.publisherBMJ Publishing Group Ltden
dc.relation.urlhttp://spcare.bmj.com/content/early/2012/11/20/bmjspcare-2012-000281en
dc.rightsArchived with thanks to BMJ supportive & palliative careen
dc.subjectCOMMUNICATIONen
dc.subjectSERVICE EVALUATIONen
dc.subjectEND OF LIFEen
dc.subjectPALLIATIVE CAREen
dc.subjectCOMMUNITY HEALTHen
dc.titleInformation transfer to out-of-hours co-operatives: a survey of general practitioners' views in relation to palliative patients.en
dc.typeArticleen
dc.identifier.journalBMJ supportive & palliative careen

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