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Original article

Vol. 154 No. 7 (2024)

Hospitalists’ perception of their communication with primary care providers – survey results from six hospitals in Central Switzerland

DOI
https://doi.org/10.57187/s.3643
Cite this as:
Swiss Med Wkly. 2024;154:3643
Published
11.07.2024

Summary

OBJECTIVES: 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.

CONCLUSION: 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.

References

  1. Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA. 2007 Feb;297(8):831–41. 10.1001/jama.297.8.831
  2. Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review | Safety in Health | Full Text, https://safetyinhealth.biomedcentral.com/articles/10.1186/s40886-018-0073-1 (accessed 13 October 2022).
  3. Sheehan J, Laver K, Bhopti A, Rahja M, Usherwood T, Clemson L, et al. Methods and Effectiveness of Communication Between Hospital Allied Health and Primary Care Practitioners: A Systematic Narrative Review. J Multidiscip Healthc. 2021 Feb;14:493–511. 10.2147/JMDH.S295549
  4. Luu NP, Pitts S, Petty B, Sawyer MD, Dennison-Himmelfarb C, Boonyasai RT, et al. Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic Review. J Gen Intern Med. 2016 Apr;31(4):417–25. 10.1007/s11606-015-3547-4
  5. Berendsen AJ, Kuiken A, Benneker WH, Meyboom-de Jong B, Voorn TB, Schuling J. How do general practitioners and specialists value their mutual communication? A survey. BMC Health Serv Res. 2009 Aug;9(1):143. 10.1186/1472-6963-9-143
  6. Berendsen AJ, Benneker WH, Schuling J, Rijkers-Koorn N, Slaets JP, Meyboom-de Jong B. Collaboration with general practitioners: preferences of medical specialists—a qualitative study. BMC Health Serv Res. 2006 Dec;6(1):155. 10.1186/1472-6963-6-155
  7. Tomaschek R, Beeler PE, Grgičević K, Müller LS, Merlo C, Hug BL. Communication and information exchange between practices and hospitals: a survey among primary care practitioners in Central Switzerland. Swiss Med Wkly. (submitted).
  8. Sharma A, Minh Duc NT, Luu Lam Thang T, Nam NH, Ng SJ, Abbas KS, et al. A Consensus-Based Checklist for Reporting of Survey Studies (CROSS). J Gen Intern Med. 2021 Oct;36(10):3179–87. 10.1007/s11606-021-06737-1
  9. Hostettler S, Kraft E. Jeder vierte Arzt ist 60 Jahre alt oder älter. Schweiz Arzteztg. 2022;103(13):414–9. 10.4414/saez.2022.20609
  10. Gigon F, Merlani P, Ricou B. Swiss physicians’ perspectives on advance directives in elective cardiovascular surgery. Minerva Anestesiol. 2015 Oct;81(10):1061–75.
  11. Jones CD, Vu MB, O’Donnell CM, Anderson ME, Patel S, Wald HL, et al. A failure to communicate: a qualitative exploration of care coordination between hospitalists and primary care providers around patient hospitalizations. J Gen Intern Med. 2015 Apr;30(4):417–24. 10.1007/s11606-014-3056-x
  12. Rachamin Y, Grischott T, Neuner-Jehle S. Implementation of a complex intervention to improve hospital discharge: process evaluation of a cluster randomised controlled trial. BMJ Open. 2021 May;11(5):e049872. 10.1136/bmjopen-2021-049872
  13. Robelia PM, Kashiwagi DT, Jenkins SM, Newman JS, Sorita A. Information Transfer and the Hospital Discharge Summary: National Primary Care Provider Perspectives of Challenges and Opportunities. J Am Board Fam Med. 2017;30(6):758–65. 10.3122/jabfm.2017.06.170194
  14. Vermeir P, Vandijck D, Degroote S, Ommeslag D, Van De Putte M, Heytens S, et al. Mutual perception of communication between general practitioners and hospital-based specialists. Acta Clin Belg. 2015 Oct;70(5):350–6. 10.1179/2295333715Y.0000000032
  15. Newnham H, Barker A, Ritchie E, Hitchcock K, Gibbs H, Holton S. Discharge communication practices and healthcare provider and patient preferences, satisfaction and comprehension: A systematic review. Int J Qual Health Care. 2017 Oct;29(6):752–68. 10.1093/intqhc/mzx121
  16. Munchhof A, Gruber R, Lane KA, Bo N, Rattray NA. Beyond Discharge Summaries: Communication Preferences in Care Transitions Between Hospitalists and Primary Care Providers Using Electronic Medical Records. J Gen Intern Med. 2020 Jun;35(6):1789–96. 10.1007/s11606-020-05786-2
  17. Enzinger L, Dumanoir P, Boussat B, Couturier P, Francois P. Direct phone communication to primary care physician to plan discharge from hospital: feasibility and benefits. BMC Health Serv Res. 2021 Dec;21(1):1352. 10.1186/s12913-021-07398-w
  18. Wåhlberg H, Valle PC, Malm S, Broderstad AR. Impact of referral templates on the quality of referrals from primary to secondary care: a cluster randomised trial. BMC Health Serv Res. 2015 Aug;15(1):353. 10.1186/s12913-015-1017-7

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