Báo cáo y học: "How the relationships between general practitioners and intensivists can be improved: the general practitioners' point of view"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: How the relationships between general practitioners and intensivists can be improved: the general practitioners' point of view. | Etesse et al. Critical Care 2010 14 R112 http content 14 3 R112 c CRITICAL CARE RESEARCH Open Access How the relationships between general practitioners and intensivists can be improved the general practitioners point of view Bérengère Etesse 1 Samir Jaber2 Thibault Mura3 Marc Leone4 Jean-Michel Constantin5 Pierre Michelet6 Lana Zoric1 Xavier Capdevila7 Francois Malavielle1 Bernard Allaouchiche8 Jean-Christophe Orban9 Pascale Fabbro-Peray3 Jean-Yves Lefrant 1 for the AzuRea Group Abstract Introduction The present study assessed the opinion of general practitioners GPs concerning their relationships with intensivists. Methods An anonymous questionnaire was mailed to 7 239 GPs. GPs were asked about their professional activities postgraduate intensive care unit ICU training the rate of patient admittance to ICUs and their relationships with intensivists. Relationship assessment was performed by using a graduated visual analogue scale VAS ranging from 0 dissatisfaction to 100 satisfaction . A multivariate analysis with stepwise logistic regression was performed to isolate factors explaining dissatisfaction VAS score 25th percentile . Results Twenty-two percent of the GPs 1 561 responded. The median satisfaction score was 57 of 100 interquartile IQ 35 to 77 . Five independent factors of dissatisfaction were identified no information provided to GPs at patient admission odds ratio OR to poor quality of family reception in the ICU OR to the ICU s family contact person s identity or function or both is unclear OR to lack of family information OR to and lack of discharge report OR to . Three independent factors prevent dissatisfaction age of GPs 45 years OR to the GP is called at patient ICU admission OR to and GP involvement in treatment decisions OR to . Conclusions Considerable improvement in GP intensivist relationships can be achieved .

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