Email communication at the medical primary–secondary care interface: a qualitative exploration
| Autor: | Philip Wilson, Rosaline S. Barbour, Rod Sampson |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Attitude of Health Personnel
media_common.quotation_subject Interface (computing) education Pilot Projects behavioral disciplines and activities Secondary Care Patient care Secondary care 03 medical and health sciences 0302 clinical medicine Nursing health services administration Humans Medicine Prospective Studies 030212 general & internal medicine Referral and Consultation Qualitative Research health care economics and organizations media_common Physician-Patient Relations Electronic Mail Primary Health Care 030504 nursing business.industry Research Corporate governance Workload Scotland Patient Satisfaction Thematic analysis 0305 other medical science Family Practice business Diversity (politics) Qualitative research |
| Zdroj: | British Journal of General Practice. 66:e467-e473 |
| ISSN: | 1478-5242 0960-1643 |
| Popis: | Background There is little published research into the influence of email communication between primary and secondary care clinicians on patient care. Aim To explore the use of email communication between clinicians across the primary– secondary care interface, and how this may relate to patient care. Design and setting A qualitative study involving primary and secondary care services in the NHS Highland Health Board area, Scotland. Ten GPs and 12 hospital consultants were purposively sampled to reflect diversity. Method Eligible clinicians were invited to take part in a semi-structured interview. Data were analysed using a thematic analysis approach. Results Key themes that emerged for clinicians included general perceptions of email; using email in practice (managing workload, impact on patient journeys, and ‘quick answers’); system issues (variability and governance); relational aspects; and email skills. Conclusion Email communication between primary and secondary care clinicians generally has a positive impact on patient access to specialist expertise. Governance issues around the use of clinical email need to be defined. There may currently be a two-tier health service for those patients (and their GPs) requiring ‘quick answers’. |
| Databáze: | OpenAIRE |
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