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Primary care physician attitudes regarding communication with hospitalists.

Abstract

Hospitalist systems create discontinuity of care. Enhanced communication between the hospitalist and primary care physician (PCP) could mitigate the harms of discontinuity. We conducted a mailed survey of 4,155 physician members of the California Academy of Family Physicians to determine their preferences for and satisfaction with communication with hospitalists. We received 1,030 completed surveys (26%). PCPs overwhelmingly stated that they "very much prefer" to communicate with hospitalists by telephone (77%), at admission (73%), and discharge (78%). Only discharge medications (94%) and discharge diagnosis (90%) were deemed "very important" by >90% of PCPs. Of the 556 respondents (54%) who had ever used a hospitalist, 56% were very or somewhat satisfied with communication with hospitalists, and 68% agreed that hospitalists are a good idea. Regarding communication at discharge, only 33% of PCPs reported that discharge summaries always or usually arrive before the patient is seen for follow-up. Only 56% of PCPs in our survey were satisfied with communication with hospitalists. Hospitalists should communicate with PCPs in a timely manner by telephone, at least at admission and discharge, and provide the specific pieces of information deemed important by the vast majority of PCPs. Hospitalists should also ensure that discharge information arrives in time to assist the PCP in reassuming care of their patients. It may be possible to tailor communication to individual PCPs. Further research could assess the impact of such communication on patient satisfaction and outcomes.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Medicine, University of California, San Francisco 94143-0903, USA.

    , ,

    Source

    The American journal of medicine 111:9B 2001 Dec 21 pg 15S-20S

    MeSH

    Adult
    Attitude of Health Personnel
    California
    Communication
    Continuity of Patient Care
    Female
    Health Care Surveys
    Hospitalists
    Humans
    Interprofessional Relations
    Male
    Middle Aged
    Physicians, Family
    Quality of Health Care
    Surveys and Questionnaires

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    11790363

    Citation

    Pantilat, S Z., et al. "Primary Care Physician Attitudes Regarding Communication With Hospitalists." The American Journal of Medicine, vol. 111, no. 9B, 2001, 15S-20S.
    Pantilat SZ, Lindenauer PK, Katz PP, et al. Primary care physician attitudes regarding communication with hospitalists. Am J Med. 2001;111(9B):15S-20S.
    Pantilat, S. Z., Lindenauer, P. K., Katz, P. P., & Wachter, R. M. (2001). Primary care physician attitudes regarding communication with hospitalists. The American Journal of Medicine, 111(9B), 15S-20S.
    Pantilat SZ, et al. Primary Care Physician Attitudes Regarding Communication With Hospitalists. Am J Med. 2001 Dec 21;111(9B):15S-20S. PubMed PMID: 11790363.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Primary care physician attitudes regarding communication with hospitalists. AU - Pantilat,S Z, AU - Lindenauer,P K, AU - Katz,P P, AU - Wachter,R M, PY - 2002/1/16/pubmed PY - 2002/2/8/medline PY - 2002/1/16/entrez SP - 15S EP - 20S JF - The American journal of medicine JO - Am. J. Med. VL - 111 IS - 9B N2 - Hospitalist systems create discontinuity of care. Enhanced communication between the hospitalist and primary care physician (PCP) could mitigate the harms of discontinuity. We conducted a mailed survey of 4,155 physician members of the California Academy of Family Physicians to determine their preferences for and satisfaction with communication with hospitalists. We received 1,030 completed surveys (26%). PCPs overwhelmingly stated that they "very much prefer" to communicate with hospitalists by telephone (77%), at admission (73%), and discharge (78%). Only discharge medications (94%) and discharge diagnosis (90%) were deemed "very important" by >90% of PCPs. Of the 556 respondents (54%) who had ever used a hospitalist, 56% were very or somewhat satisfied with communication with hospitalists, and 68% agreed that hospitalists are a good idea. Regarding communication at discharge, only 33% of PCPs reported that discharge summaries always or usually arrive before the patient is seen for follow-up. Only 56% of PCPs in our survey were satisfied with communication with hospitalists. Hospitalists should communicate with PCPs in a timely manner by telephone, at least at admission and discharge, and provide the specific pieces of information deemed important by the vast majority of PCPs. Hospitalists should also ensure that discharge information arrives in time to assist the PCP in reassuming care of their patients. It may be possible to tailor communication to individual PCPs. Further research could assess the impact of such communication on patient satisfaction and outcomes. SN - 0002-9343 UR - https://www.unboundmedicine.com/medline/citation/11790363/Primary_care_physician_attitudes_regarding_communication_with_hospitalists_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002934301009640 DB - PRIME DP - Unbound Medicine ER -