scholarly journals Medical records: Doctors' and patients' experiences of copying letters to patients

2004 ◽  
Vol 28 (2) ◽  
pp. 40-42 ◽  
Author(s):  
Harpal Nandhra ◽  
Graham Murray ◽  
Nigel Hymas ◽  
Neil Hunt
Keyword(s):  
General Practitioner ◽  
Pilot Study ◽  
General Practitioners ◽  
Medical Records ◽  
Letter Writing ◽  
Initial Assessment ◽  
Clinical Implications ◽  
Usual Practice ◽  
To Receive ◽  
Writing Practice

Aims and MethodWe conducted a pilot study to determine patients' views on receiving a copy of the assessment letter sent to their general practitioner and to determine how psychiatrists' letter writing practice would be altered in the knowledge that patients would receive copies of such letters. Seventy-six consecutive new outpatients received copies of the initial assessment letter sent to general practitioners. Patients were asked to complete a short questionnaire on how the practice affected them. For each letter, psychiatrists were asked to provide details of anything of importance that had been omitted from the letter that in their normal practice they would have included.ResultsThere was a broad range of responses on how patients felt about the letters. Only two patients found the letters unhelpful, and 83% expressed a positive desire to continue receiving letters, even though initially 18% found the letter distressing. For 56 out of 76 patients, psychiatrists stated that they composed and sent out the letter to the GP in accordance with their usual practice and copied the letter to the patient in an unaltered form. For 17 patients, the psychiatrist stated that some information he/she would usually have included in the GP letter was omitted in the copy the patient received. In a further 3 cases, the psychiatrist sent no letter to the patient.Clinical ImplicationsPatients found it helpful to receive copies of their assessment letters. Psychiatrists might require training and reassurance about this policy before implementation.

How to Identify Rheumatic Diseases by General Physicians

2020 ◽  
pp. 1533-1563
Author(s):  
Eduardo C. Contreras ◽  
Gustavo J. Puente
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Rheumatic Diseases ◽  
Inflammatory Rheumatic Diseases ◽  
Automated Algorithm ◽  
Disease Case ◽  
General Physicians ◽  
The Subject ◽  
The Given ◽  
To Receive

A large part of the population in countries in process of development ignores what Rheumatic Diseases are, and general practitioners are in most cases unaware of enough information to identify them and the treatments to successfully control them. A proposal to help those general practitioners to detect if an articular condition belongs to a Rheumatic Disease case is to present them the clinical semiology that should lead them to redirect the given conditions to a specialist on the subject, a rheumatologist. The clinical semiology is presented by an automated algorithm inside a goal-based software agent, containing all the necessary information to identify the seven most common inflammatory Rheumatic Diseases, and fourteen of the non-inflammatory ones. The purpose of this tool is to provide the general practitioner with the correct information to redirect the patient with a rheumatologist, in order for it to receive the appropriate medication to be controlled.

scholarly journals Copying letters to patients: a study of patients' views

2005 ◽  
Vol 29 (2) ◽  
pp. 56-58 ◽  
Author(s):  
Marek Marzanski ◽  
Padmapriya Musunuri ◽  
Tim Coupe
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Healthcare Professionals ◽  
Clinical Implications ◽  
Family Work ◽  
The Cost ◽  
To Receive

Aims & MethodTo investigate patients' views on receiving copies of letters sent by their healthcare professionals, 72 patients were asked about their willingness to receive a copy of the letter sent to their general practitioner and about preferences for the type of information to be included in such letters. We also asked what concerns, if any, they had about the process.ResultsThree-quarters of the respondents (n=55) said they would like to receive a copy of the letter. Patients accepted the inclusion of information about their illness but were reluctant for data about their family, work and finances to be included.Clinical ImplicationsAlthough the majority of the patients we interviewed wished to have the copy letter, many of them expressed concerns about confidentiality, the risk of distress and the cost of the process to the National Health Service. The rights of those who do not want copy letters should also be respected.

Usage of clozapine and the new neuroleptics

1999 ◽  
Vol 23 (8) ◽  
pp. 478-480
Author(s):  
M. F. Bristow
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Atypical Antipsychotic ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
England And Wales

Aims and methodTo explore clozapine and atypical antipsychotic usage in England and Wales, particularly availability, restrictions on use and shifting of prescribing to general practitioners. To examine the hypothesis that respondents in acute trusts would encounter more restrictions. Method used – postal questionnaire sent to general psychiatrists derived from the 1996 Medical Directory.ResultsThere was an 80% response rate and over 90% of respondents used clozapine, with only 9% reporting any difficulty in obtaining it. Difficulty was not associated with any particular type of trust. Only about 4% of respondents suggested that general practitioners regularly took over the prescribing costs of the drug.Clinical implicationsOptimistic, with widespread usage and few difficulties in obtaining clozapine. General practitioner prescribing is still very low and needs to increase.

scholarly journals Survey of suicides in the Fife region of Scotland

1999 ◽  
Vol 23 (5) ◽  
pp. 267-269
Author(s):  
Fergus Douds ◽  
Vicky Bridges
Keyword(s):  
Risk Factors ◽  
General Practitioner ◽  
General Practitioners ◽  
Clinical Audit ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
History Of ◽  
Previous Contact ◽  
General Practices ◽  
Reduce Risk

Aims and methodsSuicides in the Fife region were investigated over a two-year period. The timing of the final contact with general practitioners and psychiatric services was ascertained. Data were collected from procurators fiscal records, general practices, and where applicable, psychiatric records.ResultsThere were 74 suicide victims during the study period. Forty-six per cent of suicide victims saw their general practitioner in the month before death, and 55% had a history of previous contact with psychiatric services, although only 27% of this group saw a psychiatrist in the month before death.Clinical implicationsClinical audit of suicide is an important task for psychiatric services. Practitioners must continually assess risk and attempt, where possible, to reduce risk factors.

scholarly journals Keragaman Kasus Forensik Klinik di RS Bhayangkara Tingkat III Manado dari Sudut Pandang SKDI 2012 Periode Juli 2015-Juni 2016

e-CliniC ◽  
2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Magdalya A. Lumente ◽  
Erwin G. Kristanto ◽  
James F. Siwu
Keyword(s):  
Retrospective Study ◽  
General Practitioner ◽  
General Practitioners ◽  
Medical Records ◽  
National Standard ◽  
Medical Doctors ◽  
Using Data

Abstract: Forensic clinic is a part of medical forensics which includes examination of living victim. The knowledge and skill of a doctor are needed in case of assisting the investigators and public prosecutors in proving of a criminal act. General practitioners are required to mastering all competence levels based on the National Standard Competency of Indonesian Medical Doctors 2012 (SKDI 2012). This study was aimed to obtain all kinds of forensics clinic cases at Bhayangkara Level III Hospital Manado from July 2015 to June 2016. This was a descriprive retrospective study using data obtained from the police inquest papers, visum et repertum, and medical records. The results showed that there were 38% of cases, that fulfilled the Standard Competence of General Practitioner. Conclusion: In this study, the majority of cases were blunt violent cases. It is suggested that Bhayangkara Level III Hospital Manado become a partnership of hospital education for future doctors.Keywords: forensic clinic, doctor competence, SKDI 2012 Abstrak: Forensik klinik adalah bagian dari ilmu kedokteran forensik yang mencakup pemeriksaan pada korban hidup. Ilmu pengetahuan dan keterampilan seorang dokter dibutuhkan dalam membantu tugas penyidik dan penuntut umum dalam pembuktian tindak pidana. Dokter umum diwajibkan menguasai semua tingkat kompetensi yang ada di dalam buku Standar Kompetesi Dokter Indonesia 2012. Penelitian ini merujuk pada RS Bhayangkara Tingkat III Manado dengan tujuan untuk mengetahui keragaman kasus Forensik Klinik di RS Bhayangkara Tingkat III Manado periode Juli 2015-Juni 2016. Jenis penelitian ialah deskriptif retrospektif. Sumber data penelitian didapatkan dari surat permintaan visum, visum et repertum, dan rekam medis. Hasil penelitian mendapatkan 38% kasus yang mencukupi standar kompetensi dokter umum. Simpulan: Majoritas kasus dalam studi ini ialah kekerasan tumpul. Disarankan RS Bhayangkara Tingkat III Manado dipertimbangkan sebagai kepaniteraan rumah sakit pendidikan bagi dokter muda.Kata kunci: forensik klinik, kompetensi dokter, SKDI 2012

scholarly journals How do general practitioners identify inflammatory arthritis? A cohort analysis of Dutch general practitioner electronic medical records

Rheumatology ◽  
2016 ◽  
Vol 55 (5) ◽  
pp. 848-853 ◽  
Author(s):  
Elize C. Newsum ◽  
Margot W. M. de Waal ◽  
Hanna W. van Steenbergen ◽  
Jacobijn Gussekloo ◽  
Annette H. M. van der Helm-van Mil
Keyword(s):  
General Practitioner ◽  
Electronic Medical Records ◽  
General Practitioners ◽  
Medical Records ◽  
Inflammatory Arthritis ◽  
Cohort Analysis

How to Identify Rheumatic Diseases by General Physicians

2016 ◽  
pp. 136-166
Author(s):  
Eduardo C. Contreras ◽  
Gustavo J. Puente
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Rheumatic Diseases ◽  
Inflammatory Rheumatic Diseases ◽  
Automated Algorithm ◽  
Disease Case ◽  
General Physicians ◽  
The Subject ◽  
The Given ◽  
To Receive

A large part of the population in countries in process of development ignores what Rheumatic Diseases are, and general practitioners are in most cases unaware of enough information to identify them and the treatments to successfully control them. A proposal to help those general practitioners to detect if an articular condition belongs to a Rheumatic Disease case is to present them the clinical semiology that should lead them to redirect the given conditions to a specialist on the subject, a rheumatologist. The clinical semiology is presented by an automated algorithm inside a goal-based software agent, containing all the necessary information to identify the seven most common inflammatory Rheumatic Diseases, and fourteen of the non-inflammatory ones. The purpose of this tool is to provide the general practitioner with the correct information to redirect the patient with a rheumatologist, in order for it to receive the appropriate medication to be controlled.

A Pilot Study of Mobile Telephone Message Interventions with Suicide Attempters in China

Crisis ◽  
2010 ◽  
Vol 31 (2) ◽  
pp. 109-112 ◽  
Author(s):  
Hui Chen ◽  
Brian L. Mishara ◽  
Xiao Xian Liu
Keyword(s):  
Pilot Study ◽  
Effective Means ◽  
Text Message ◽  
Text Messages ◽  
Mobile Telephone ◽  
Future Research ◽  
Quick Method ◽  
Suicide Attempters ◽  
To Receive

Background: In China, where follow-up with hospitalized attempters is generally lacking, there is a great need for inexpensive and effective means of maintaining contact and decreasing recidivism. Aims: Our objective was to test whether mobile telephone message contacts after discharge would be feasible and acceptable to suicide attempters in China. Methods: Fifteen participants were recruited from suicide attempters seen in the Emergency Department in Wuhan, China, to participate in a pilot study to receive mobile telephone messages after discharge. All participants have access to a mobile telephone, and there is no charge for the user to receive text messages. Results: Most participants (12) considered the text message contacts an acceptable and useful form of help and would like to continue to receive them for a longer period of time. Conclusions: This suggests that, as a low-cost and quick method of intervention in areas where more intensive follow-up is not practical or available, telephone messages contacts are accessible, feasible, and acceptable to suicide attempters. We hope that this will inspire future research on regular and long-term message interventions to prevent recidivism in suicide attempters.

Postmarketing Surveillance Based on Electronic Patient Records: The IPCI Project

1999 ◽  
Vol 38 (04/05) ◽  
pp. 339-344 ◽  
Author(s):  
J. van der Lei ◽  
B. M. Th. Mosseveld ◽  
M. A. M. van Wijk ◽  
P. D. van der Linden ◽  
M. C. J. M. Sturkenboom ◽  
...  
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Validation Studies ◽  
Resource Planning ◽  
Routine Practice ◽  
Patient Records ◽  
Postmarketing Surveillance ◽  
Electronic Patient Records ◽  
Use Of Data ◽  
Data Requirements

AbstractResearchers claim that data in electronic patient records can be used for a variety of purposes including individual patient care, management, and resource planning for scientific research. Our objective in the project Integrated Primary Care Information (IPCI) was to assess whether the electronic patient records of Dutch general practitioners contain sufficient data to perform studies in the area of postmarketing surveillance studies. We determined the data requirements for postmarketing surveil-lance studies, implemented additional software in the electronic patient records of the general practitioner, developed an organization to monitor the use of data, and performed validation studies to test the quality of the data. Analysis of the data requirements showed that additional software had to be installed to collect data that is not recorded in routine practice. To avoid having to obtain informed consent from each enrolled patient, we developed IPCI as a semianonymous system: both patients and participating general practitioners are anonymous for the researchers. Under specific circumstances, the researcher can contact indirectly (through a trusted third party) the physician that made the data available. Only the treating general practitioner is able to decode the identity of his patients. A Board of Supervisors predominantly consisting of participating general practitioners monitors the use of data. Validation studies show the data can be used for postmarketing surveillance. With additional software to collect data not normally recorded in routine practice, data from electronic patient record of general practitioners can be used for postmarketing surveillance.

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