Information exchange among physicians caring for the same patient in the community Export

@article{citeulike:3734547, abstract = {Background: The exchange of information is an integral component of continuity of health care and may limit or prevent costly duplication of tests and treatments. This study determined the probability that patient information from previous visits with other physicians was available for a current physician visit. Methods: We conducted a multicentre prospective cohort study including patients discharged from the medical or surgical services of 11 community and academic hospitals in Ontario. Patients included in the study saw at least 2 different physicians during the 6 months after discharge. The primary outcome was whether information from a previous visit with another physician was available at the current visit. We determined the availability of previous information using surveys of or interviews with the physicians seen during current visits. Results: A total of 3250 patients, with a total of 39 469 previous-current visit combinations, met the inclusion criteria. Overall, information about the previous visit was available 22.0\% of the time. Information was more likely to be available if the current doctor was a family physician (odds ratio [OR] 1.75, 95\% confidence interval [CI] 1.54-1.98) or a physician who had treated the patient before the hospital admission (OR 1.33, 95\% CI 1.21-1.46). Conversely, information was less likely to be available if the previous doctor was a family physician (OR 0.38, 95\% CI 0.32-0.44) or a physician who had treated the patient before the admission (OR 0.72, 95\% CI 0.60-0.86). The strongest predictor of information exchange was the current physician having previously received information about the patient from the previous physician (OR 7.72, 95\% CI 6.92-8.63). Interpretation: Health care information is often not shared among multiple physicians treating the same patient. This situation would be improved if information from family physicians and patients' regular physicians was more systematically available to other physicians. 10.1503/cmaj.080430}, author = {van Walraven, Carl and Taljaard, Monica and Bell, Chaim M. and Etchells, Edward and Zarnke, Kelly B. and Stiell, Ian G. and Forster, Alan J.}, citeulike-article-id = {3734547}, citeulike-linkout-0 = {http://dx.doi.org/10.1503/cmaj.080430}, citeulike-linkout-1 = {http://www.cmaj.ca/cgi/content/abstract/179/10/1013?etoc}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/18981442}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=18981442}, day = {4}, doi = {10.1503/cmaj.080430}, journal = {CMAJ}, keywords = {communication, community\_medicine, network}, month = {November}, number = {10}, pages = {1013--1018}, posted-at = {2008-12-02 09:45:44}, priority = {2}, title = {Information exchange among physicians caring for the same patient in the community}, url = {http://dx.doi.org/10.1503/cmaj.080430}, volume = {179}, year = {2008} }

TY - JOUR ID - citeulike:3734547 L3 - citeulike-article-id:3734547 N2 - Background: The exchange of information is an integral component of continuity of health care and may limit or prevent costly duplication of tests and treatments. This study determined the probability that patient information from previous visits with other physicians was available for a current physician visit. Methods: We conducted a multicentre prospective cohort study including patients discharged from the medical or surgical services of 11 community and academic hospitals in Ontario. Patients included in the study saw at least 2 different physicians during the 6 months after discharge. The primary outcome was whether information from a previous visit with another physician was available at the current visit. We determined the availability of previous information using surveys of or interviews with the physicians seen during current visits. Results: A total of 3250 patients, with a total of 39 469 previous-current visit combinations, met the inclusion criteria. Overall, information about the previous visit was available 22.0% of the time. Information was more likely to be available if the current doctor was a family physician (odds ratio [OR] 1.75, 95% confidence interval [CI] 1.54-1.98) or a physician who had treated the patient before the hospital admission (OR 1.33, 95% CI 1.21-1.46). Conversely, information was less likely to be available if the previous doctor was a family physician (OR 0.38, 95% CI 0.32-0.44) or a physician who had treated the patient before the admission (OR 0.72, 95% CI 0.60-0.86). The strongest predictor of information exchange was the current physician having previously received information about the patient from the previous physician (OR 7.72, 95% CI 6.92-8.63). Interpretation: Health care information is often not shared among multiple physicians treating the same patient. This situation would be improved if information from family physicians and patients' regular physicians was more systematically available to other physicians. 10.1503/cmaj.080430 IS - 10 JF - CMAJ EP - 1018 TI - Information exchange among physicians caring for the same patient in the community VL - 179 SP - 1013 KW - communication KW - community_medicine KW - network AU - van Walraven, Carl AU - Taljaard, Monica AU - Bell, Chaim AU - Etchells, Edward AU - Zarnke, Kelly AU - Stiell, Ian AU - Forster, Alan PY - 2008/11/04/ UR - http://dx.doi.org/10.1503/cmaj.080430 ER -