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[Relations between anesthetists and general practitioners or pediatricians. Results of a cross sectional study among
I Landrieux1, M H Blond, C Mercier
1Unité d'anesthésie-réanimation pédiatrique, CHU, centre de pédiatrie de Clocheville, Tours, France.
Insights
Communication between anaesthesiologists and general practitioners/paediatricians regarding pediatric ambulatory anesthesia is limited. Both groups desire more information and anesthetic reports to improve patient care.
Area of Science:
- Anesthesiology
- Pediatric Medicine
- General Practice
Context:
- Focuses on the communication and collaboration between anesthesiologists, general practitioners (GPs), and pediatricians (PAs).
- Examines the flow of information concerning pediatric ambulatory anesthesia and postoperative surveillance.
- Highlights the perspectives of healthcare providers managing children undergoing ambulatory surgery.
Purpose:
- To evaluate the relationship and communication patterns between anesthesiologists and primary care physicians (GPs and PAs) involved in pediatric ambulatory anesthesia.
- To identify knowledge gaps and information needs regarding ambulatory anesthesia procedures and complications.
- To gauge the preferences of GPs and PAs for receiving information and feedback from anesthesiologists.
Summary:
- A cross-sectional survey of 1,053 GPs and 64 PAs in France revealed limited contact rates between anesthesiologists and referring physicians (23% GP, 38% PA).
- Information on anesthesia and its complications was scarce, with only 26% of GPs and 42% of PAs receiving anesthesia details.
- Both GPs and PAs expressed a strong desire for more information, particularly through continuing medical education, and favored receiving anesthetic reports.
Impact:
- Identifies significant communication gaps in pediatric ambulatory anesthesia care.
- Underscores the need for improved information exchange and educational initiatives between anesthesiologists and referring physicians.
- Suggests that enhanced communication and reporting can improve the quality of care and patient safety in pediatric ambulatory anesthesia.
Objective:
To assess the relationship of anaesthetiologists (Anaes) with general practitioners (GP) and paediatricians (Paed), possessors of the medical files of children scheduled to undergo ambulatory anaesthesia and participating in postoperative surveillance.
Study Design:
Cross-sectional prospective survey.
Persons:
GP and Paed treating children admitted in September 1994 at the paediatric clinic of the University hospital of Tours for ambulatory surgery.
Method:
Questionnaire including 11 items circulated to 2,181 GP and 100 Paed of the centre of France.
Results And Discussion:
Replies were obtained from 1,053 GP (48%) and 64 Paed (64%). The experience of Anaesth in paediatric anaesthesia was the least important criterion for the choice of the clinic (for 67% of Paed and 44% of GP). The rate of contacts of Anaesth with GP and Paed was low (23% of GP and 38% of Paed). Informations concerning anaesthesia (26% of GP and 42% of Paed), or its complications (8% of GP and 8% of Paed) were scarce. The rules of ambulatory anaesthesia were better known by Paed (56%) than by GP (34%), unlike those for autotransfusion (45% of GP and 23% of Paed). A majority of GP (82%) and Paed (73%) would appreciate an anaesthetic report. Most of GP (86%) and Paed (83%) were in favour of more informations, mainly through continuing medical education, on these problems.