Abstract：
OBJECTIVE: Due to the increasing complexity of the healthcare system, effective communication and data exchange between hospitalists (in-hospital physicians) and primary care physicians (PCPs) is both central and challenging. In Switzerland, little is known about hospitalists\' perception of their communication with PCPs. The primary objective was to assess hospitalists\' satisfaction with their communication with PCPs. Secondary objectives addressed all information about the referral process and communication with PCPs during and after the hospital encounter. Lastly, the results of a previous survey among PCPs were juxtaposed to compare their responses to similar questions.
METHODS: This study surveyed hospitalists in six hospitals in the Central Switzerland region. The survey was sent via email to hospitalists from November 2021 to February 2022. The questionnaire contained 17 questions with single- and multiple-choice answers and the option of free-text entry. Exploratory multivariable logistic regression was used to analyse independent associations.
RESULTS: In total, 276 of 1134 hospitalists responded (response rate 24.3%): (1) the majority of hospitalists are satisfied with the general communication (n = 162, 58.7%) as well as with referral letters (n = 145, 52.5%), (2) preferred information channels for referral letters are email (n = 212, 76.8%) and electronic portals (n = 181, 65.5%), (3) the three most important items of information in referrals are: medication list, diagnoses and reason for referral. In multivariable regression, compared to other clinicians, internists independently favoured informing PCPs of emergency admissions of their patients in a timely manner (OR 2.04; 95%CI 1.21-3.49). Comparing responses from PCPs (n = 109), the most prominent discrepancy was that 67% (n = 184) of hospitalists claimed to \"always\" inform after an encounter, whereas only 7% (n = 8) of PCPs agreed.
CONCLUSIONS: Most hospitalists are satisfied with the communication with PCPs and prefer electronic communication channels. Room for improvement was found around timely transmission of patient information before and after hospital encounters.
METHODS: This study surveyed hospitalists in six hospitals in the Central Switzerland region. The survey was sent via email to hospitalists from November 2021 to February 2022. The questionnaire contained 17 questions with single- and multiple-choice answers and the option of free-text entry. Exploratory multivariable logistic regression was used to analyse independent associations.
RESULTS: In total, 276 of 1134 hospitalists responded (response rate 24.3%): (1) the majority of hospitalists are satisfied with the general communication (n = 162, 58.7%) as well as with referral letters (n = 145, 52.5%), (2) preferred information channels for referral letters are email (n = 212, 76.8%) and electronic portals (n = 181, 65.5%), (3) the three most important items of information in referrals are: medication list, diagnoses and reason for referral. In multivariable regression, compared to other clinicians, internists independently favoured informing PCPs of emergency admissions of their patients in a timely manner (OR 2.04; 95%CI 1.21-3.49). Comparing responses from PCPs (n = 109), the most prominent discrepancy was that 67% (n = 184) of hospitalists claimed to \"always\" inform after an encounter, whereas only 7% (n = 8) of PCPs agreed.
CONCLUSIONS: Most hospitalists are satisfied with the communication with PCPs and prefer electronic communication channels. Room for improvement was found around timely transmission of patient information before and after hospital encounters.
摘要：
目标：由于医疗保健系统的复杂性日益增加，住院医师(院内医师)和初级保健医师(PCP)之间的有效沟通和数据交换既是核心又具有挑战性.在瑞士,关于住院医生对他们与PCP沟通的看法知之甚少。主要目的是评估住院医师对与PCP沟通的满意度。次要目标解决了有关转诊过程以及在医院相遇期间和之后与PCP沟通的所有信息。最后,我们并置了PCP中先前调查的结果,以比较它们对类似问题的回答.
方法：这项研究调查了瑞士中部地区六家医院的住院医师。该调查于2021年11月至2022年2月通过电子邮件发送给住院医生。问卷包含17个问题，带有单选题和多选题答案以及自由文本输入选项。使用探索性多变量逻辑回归分析独立关联。
结果：总计，1134名住院医师中有276名做出了回应（回应率24.3％）：（1）大多数住院医师对一般沟通（n=162，58.7％）以及推荐信（n=145，52.5％）感到满意，（2）推荐信的首选信息渠道是电子邮件（n=212，76.8％）和电子门户（n=181，65.5％），(3)转诊中最重要的三个信息项目是:用药清单,诊断和转诊的原因。在多变量回归中，与其他临床医生相比，内科医生倾向于及时告知PCP患者的急诊入院情况(OR2.04;95CI1.21-3.49).比较PCP的响应（n=109），最突出的差异是67%(n=184)的住院医生声称在遭遇后“总是”通知，而只有7%(n=8)的PCP同意。
结论：大多数住院医师对与PCP的沟通感到满意，更喜欢电子沟通渠道。在医院相遇前后及时传达患者信息，发现了改善的空间。
方法：这项研究调查了瑞士中部地区六家医院的住院医师。该调查于2021年11月至2022年2月通过电子邮件发送给住院医生。问卷包含17个问题，带有单选题和多选题答案以及自由文本输入选项。使用探索性多变量逻辑回归分析独立关联。
结果：总计，1134名住院医师中有276名做出了回应（回应率24.3％）：（1）大多数住院医师对一般沟通（n=162，58.7％）以及推荐信（n=145，52.5％）感到满意，（2）推荐信的首选信息渠道是电子邮件（n=212，76.8％）和电子门户（n=181，65.5％），(3)转诊中最重要的三个信息项目是:用药清单,诊断和转诊的原因。在多变量回归中，与其他临床医生相比，内科医生倾向于及时告知PCP患者的急诊入院情况(OR2.04;95CI1.21-3.49).比较PCP的响应（n=109），最突出的差异是67%(n=184)的住院医生声称在遭遇后“总是”通知，而只有7%(n=8)的PCP同意。
结论：大多数住院医师对与PCP的沟通感到满意，更喜欢电子沟通渠道。在医院相遇前后及时传达患者信息，发现了改善的空间。
