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Text
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<a href="http://doi.org/10.1503/cmaj.080430" target="_blank" rel="noreferrer">http://doi.org/10.1503/cmaj.080430</a>
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Title
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Information exchange among physicians caring for the same patient in the community
Publisher
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Canadian Medical Association Journal
Date
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2008
Subject
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Female; Humans; Male; Follow-Up Studies; Prospective Studies; Middle Aged; Cooperative Behavior; Communication; Physicians; Ontario; Continuity of Patient Care; Hospitals; Community; University; Access to Information; Medical Record Linkage; Office Visits
Creator
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van Walraven C; Taljaard M; Bell CM; Etchells E; Zarnke KB; Stiell IG; Forster AJ
Description
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BACKGROUND: The exchange of information is an integral component of continuity of health care and may limit or prevent costly duplication of tests and treatments. This study determined the probability that patient information from previous visits with other physicians was available for a current physician visit. METHODS: We conducted a multicentre prospective cohort study including patients discharged from the medical or surgical services of 11 community and academic hospitals in Ontario. Patients included in the study saw at least 2 different physicians during the 6 months after discharge. The primary outcome was whether information from a previous visit with another physician was available at the current visit. We determined the availability of previous information using surveys of or interviews with the physicians seen during current visits. RESULTS: A total of 3250 patients, with a total of 39 469 previous-current visit combinations, met the inclusion criteria. Overall, information about the previous visit was available 22.0% of the time. Information was more likely to be available if the current doctor was a family physician (odds ratio [OR] 1.75, 95% confidence interval [CI] 1.54-1.98) or a physician who had treated the patient before the hospital admission (OR 1.33, 95% CI 1.21-1.46). Conversely, information was less likely to be available if the previous doctor was a family physician (OR 0.38, 95% CI 0.32-0.44) or a physician who had treated the patient before the admission (OR 0.72, 95% CI 0.60-0.86). The strongest predictor of information exchange was the current physician having previously received information about the patient from the previous physician (OR 7.72, 95% CI 6.92-8.63). INTERPRETATION: Health care information is often not shared among multiple physicians treating the same patient. This situation would be improved if information from family physicians and patients' regular physicians was more systematically available to other physicians.
2008
Identifier
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<a href="http://doi.org/10.1503/cmaj.080430" target="_blank" rel="noreferrer">10.1503/cmaj.080430</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2008
Access To Information
Backlog
Bell CM
Canadian Medical Association Journal
Communication
Community
Continuity Of Patient Care
Cooperative Behavior
Etchells E
Female
Follow-up Studies
Forster AJ
Hospitals
Humans
Journal Article
Male
Medical Record Linkage
Middle Aged
Office Visits
Ontario
Physicians
Prospective Studies
Stiell IG
Taljaard M
University
van Walraven C
Zarnke KB