Tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) INTRODUCTION: Formal referrals to medical specialists have not been required in Iceland since 1984. In 2006, however, referrals were required for patients to receive reimbursement for cardiol...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2010
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Online Access: | http://hdl.handle.net/2336/100291 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/100291 2023-05-15T16:49:39+02:00 Tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna Gatekeeping and referrals from GPs to cardiologists: patients' opinions and registration of information flow Steinar Björnsson Jóhann Ág. Sigurðsson Alma Eir Svavarsdóttir Gunnar Helgi Guðmundsson Heilsugæslu höfuðborgarsvæðisins, Efstaleiti. steinarbjorns@gmail.com 2010-06-04 http://hdl.handle.net/2336/100291 ice is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 2010, 96(5):335-40 0023-7213 20445220 http://hdl.handle.net/2336/100291 Læknablaðið Heimilislæknar Samskipti Aged Cardiology Continuity of Patient Care Cooperative Behavior Gatekeeping Health Care Surveys Health Services Accessibility Iceland Interdisciplinary Communication Patient Satisfaction Physicians Family Quality of Health Care Questionnaires Referral and Consultation Time Factors Writing Article 2010 ftlandspitaliuni 2022-05-29T08:21:32Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) INTRODUCTION: Formal referrals to medical specialists have not been required in Iceland since 1984. In 2006, however, referrals were required for patients to receive reimbursement for cardiologists fees. We studied patients' experiences and opinions on the referral process and explored the potential for quality improvement related to the increase in written communication between referring GPs and cardiologists. MATERIAL AND METHODS: Based on the electronic medical record system, referrals from GPs at Efstaleiti Health Care Center in Reykjavík to cardiologists between 1 June 2006 and 1 April 2007 were analyzed. A total of 344 patients were referred in this period. 245 agreed to participate in a questionnaire study about their opinions on the referral system and 209 (85%) completed the questionnaire. Relevant data on previous contacts with the health care center and received consultants reports from the years 2005-7 were extracted from the record system. RESULTS: Participating patients had a mean age of 72 years, male/female ratio 1:1. Ninety percent (95% C.I. 86-94) regarded the new referral system as more expensive and troublesome, but 89% (95% C.I. 85-94) wanted their cardiologist to send a formal report to the referring GP. The number of reports from cardiologists to the health centre's GPs increased from 43 in 2005 to 326 in 2007. CONCLUSION: Implementation of a referral system led to some dissatisfaction among the patients. On the other hand, it led to a major increase in the information exchange between GPs and cardiologists, in clear accordance with patients' wishes. It would be of interest to study the impact of the increased information flow influenced on the health care delivered. Inngangur: Árið 2006 varð greiðsluþátttaka sjúkratrygginga háð tilvísun heimilislækna til hjartalækna. Tilgangur þessarar rannsóknar var að kanna viðhorf sjúklinga til þessa tilvísanakerfis og hvort breytingin hafi ... Article in Journal/Newspaper Iceland Reykjavík Reykjavík Hirsla - Landspítali University Hospital research archive Reykjavík Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Heimilislæknar Samskipti Aged Cardiology Continuity of Patient Care Cooperative Behavior Gatekeeping Health Care Surveys Health Services Accessibility Iceland Interdisciplinary Communication Patient Satisfaction Physicians Family Quality of Health Care Questionnaires Referral and Consultation Time Factors Writing |
spellingShingle |
Heimilislæknar Samskipti Aged Cardiology Continuity of Patient Care Cooperative Behavior Gatekeeping Health Care Surveys Health Services Accessibility Iceland Interdisciplinary Communication Patient Satisfaction Physicians Family Quality of Health Care Questionnaires Referral and Consultation Time Factors Writing Steinar Björnsson Jóhann Ág. Sigurðsson Alma Eir Svavarsdóttir Gunnar Helgi Guðmundsson Tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna |
topic_facet |
Heimilislæknar Samskipti Aged Cardiology Continuity of Patient Care Cooperative Behavior Gatekeeping Health Care Surveys Health Services Accessibility Iceland Interdisciplinary Communication Patient Satisfaction Physicians Family Quality of Health Care Questionnaires Referral and Consultation Time Factors Writing |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) INTRODUCTION: Formal referrals to medical specialists have not been required in Iceland since 1984. In 2006, however, referrals were required for patients to receive reimbursement for cardiologists fees. We studied patients' experiences and opinions on the referral process and explored the potential for quality improvement related to the increase in written communication between referring GPs and cardiologists. MATERIAL AND METHODS: Based on the electronic medical record system, referrals from GPs at Efstaleiti Health Care Center in Reykjavík to cardiologists between 1 June 2006 and 1 April 2007 were analyzed. A total of 344 patients were referred in this period. 245 agreed to participate in a questionnaire study about their opinions on the referral system and 209 (85%) completed the questionnaire. Relevant data on previous contacts with the health care center and received consultants reports from the years 2005-7 were extracted from the record system. RESULTS: Participating patients had a mean age of 72 years, male/female ratio 1:1. Ninety percent (95% C.I. 86-94) regarded the new referral system as more expensive and troublesome, but 89% (95% C.I. 85-94) wanted their cardiologist to send a formal report to the referring GP. The number of reports from cardiologists to the health centre's GPs increased from 43 in 2005 to 326 in 2007. CONCLUSION: Implementation of a referral system led to some dissatisfaction among the patients. On the other hand, it led to a major increase in the information exchange between GPs and cardiologists, in clear accordance with patients' wishes. It would be of interest to study the impact of the increased information flow influenced on the health care delivered. Inngangur: Árið 2006 varð greiðsluþátttaka sjúkratrygginga háð tilvísun heimilislækna til hjartalækna. Tilgangur þessarar rannsóknar var að kanna viðhorf sjúklinga til þessa tilvísanakerfis og hvort breytingin hafi ... |
author2 |
Heilsugæslu höfuðborgarsvæðisins, Efstaleiti. steinarbjorns@gmail.com |
format |
Article in Journal/Newspaper |
author |
Steinar Björnsson Jóhann Ág. Sigurðsson Alma Eir Svavarsdóttir Gunnar Helgi Guðmundsson |
author_facet |
Steinar Björnsson Jóhann Ág. Sigurðsson Alma Eir Svavarsdóttir Gunnar Helgi Guðmundsson |
author_sort |
Steinar Björnsson |
title |
Tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna |
title_short |
Tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna |
title_full |
Tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna |
title_fullStr |
Tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna |
title_full_unstemmed |
Tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna |
title_sort |
tilvísanir til hjartalækna : viðhorf hjartasjúklinga og samskipti lækna |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2010 |
url |
http://hdl.handle.net/2336/100291 |
long_lat |
ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Reykjavík Smella |
geographic_facet |
Reykjavík Smella |
genre |
Iceland Reykjavík Reykjavík |
genre_facet |
Iceland Reykjavík Reykjavík |
op_relation |
http://www.laeknabladid.is Læknablaðið 2010, 96(5):335-40 0023-7213 20445220 http://hdl.handle.net/2336/100291 Læknablaðið |
_version_ |
1766039806057381888 |