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EFPC 2014, 1st September Continuity of care and communication among general practitioners, specialists and patients in Italy Norma Sartori, Sabina De Rosis,

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Presentation on theme: "EFPC 2014, 1st September Continuity of care and communication among general practitioners, specialists and patients in Italy Norma Sartori, Sabina De Rosis,"— Presentation transcript:

1 EFPC 2014, 1st September Continuity of care and communication among general practitioners, specialists and patients in Italy Norma Sartori, Sabina De Rosis, Chiara Seghieri, Giorgio Visentin

2 EFPC 2014, 1st September PATIENT’S PERSPECTIVE Referrals rate GPs vs specialists communications Specialists vs GPs communications Specialist’s choice Barriers to referral

3 EFPC 2014, 1st September PATIENTS PERSPECTIVE Patients mostly see a specialist 1 or 2 times a year 48% of their GPs inform the spacialist about the diagnosis 83% of specialists send back an answer to the GPs GPs don’t decide who is the specialist in 54% of cases 80% of patients have an easy access to specialist

4 EFPC 2014, 1st September DOCTORS PERSPECTIVE Setting Who decide the referral /causes of referral GPs internal relationship Meeting with other health professional Counselling to others professionals Letter to specialist Report from specialist Time for discharge letter

5 EFPC 2014, 1st September Setting 50 % of practices shared with others GPs A minority with nurses No one with specialists Only 28 GPs don’t have easy access to laboratory 30% don’t have easy access to Radiodiagnostic 5% are more than 20 km from hospital

6 EFPC 2014, 1st September Referral characteristic

7 EFPC 2014, 1st September COMMUNICATION BETWEEN GPS AND SPECIALISTS Shared decision with patients 68% of GPS don’t send a letter to the specialist 54% of specialist don’t write an answer to the GPS One third of discharge letters are delayed more than 5 days (14/220 never arrived)

8 EFPC 2014, 1st September Interprofessional meetings

9 Counselling from specialists GPs usually exchange opinions mostly with psychiatrists, radiologists and neurologist

10 EFPC 2014, 1st September Conclusions Referral is not (only) a matter of number It is often a shared decision Communication GPs Specialists is poor Meeting only among GPs Teamwork is poor (only halfof GPs work in group, but with few nurses and rare meetings)

11 EFPC 2014, 1st September Conclusioni Assenza di un team di medici che lavorano in collaborazione per gestire il paziente –Solo metà dei medici condividono lo studio con colleghi –Solo 35 medici hanno un infermiere –Solo 15 medici hanno nello studio un infermiere territoriale –Rarissimi incontri strutturati con infermieri domiciliari e assistenti sociali Assenza nel questionario di domande volte a indagare il lavoro in team

12 EFPC 2014, 1st September Conclusions IT is a starting point to improve the quality of Primary Care. If you want to reach common goal you need a stronger relationship among the health workers in order to motivate them for a common project A successful teamwork need a complex educational process in order to overcome the competition and facilitate collaboration

13 EFPC 2014, 1st September Thank you for your attention


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