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Asthma: communication between hospital and general practitioners.

M K Marks1, J L Hynson, G Karabatsos

  • 1Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia. marksm@cryptic.rch.unimelb.edu.au

Journal of Paediatrics and Child Health
|July 15, 1999
PubMed
Summary

Actively involving General Practitioners (GPs) in paediatric asthma patient care significantly improved GP satisfaction with hospital communication. This initiative enhanced GP understanding of patient hospitalizations without affecting follow-up attendance rates.

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Area of Science:

  • Pediatric Asthma Management
  • General Practice Collaboration
  • Healthcare Communication

Background:

  • Effective communication between hospital staff and General Practitioners (GPs) is crucial for optimal post-discharge care of paediatric asthma patients.
  • Current communication practices may lead to suboptimal patient care and physician dissatisfaction.

Purpose of the Study:

  • To evaluate the impact of actively involving GPs in the post-discharge care of paediatric asthma patients on their satisfaction with hospital communication.
  • To assess if enhanced GP involvement improves understanding of patient hospitalizations and post-discharge care plans.

Main Methods:

  • A randomized controlled trial involving 60 paediatric asthma patients and their identified GPs.
  • Intervention group GPs received telephone calls and detailed printed information about patient hospital care and post-discharge recommendations.

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  • Follow-up appointments were scheduled for intervention patients to see their GPs.

    • Main Results:

    • Significantly higher satisfaction reported by intervention GPs regarding communication with hospital staff (96.4% vs 48.3%).
    • Intervention GPs reported greater perceived involvement in post-discharge care (75.0% vs 44.8%) and understanding of hospitalizations (96.4% vs 62.1%).
    • No significant difference in follow-up attendance rates between intervention and control groups (85.7% vs 72.4%).

    Conclusions:

    • Active GP involvement significantly enhances satisfaction with communication between hospitals and GPs for paediatric asthma care.
    • The intervention improved GPs' understanding of patient hospitalizations and their role in post-discharge management.
    • The study lacked sufficient power to determine effects on patient morbidity.