A Survey of the Preferences of Primary Care Physicians Regarding the Comanagement With Specialists of Children With Rare or Complex Conditions
A Survey of the Preferences of Primary Care Physicians Regarding the Comanagement With Specialists of Children With Rare or Complex Conditions
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DOI：
10.1177/0009922814528035
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发表时间：
2014-06-01
影响因子：
1.6
通讯作者：
Smith, Andrew
中科院分区：
文献类型：
--
作者：
McClain, Monica R.;Cooley, W. Carl;Smith, Andrew
目标.评估初级保健儿科提供者对共同管理罕见疾病患者的舒适度。方法.通过电子链接向儿科医生和家庭医生发送了一份调查。使用卡方显著性检验和Fisher精确检验进行分类变量比较，使用Student t检验进行连续变量比较。结果大多数提供者认为，最常见的护理决定是由专家与初级保健医生咨询。最常见的信息来源是来自专家的直接沟通。提高提供者角色的清晰度和舒适度的最有效工具是一个积极的护理计划，确定当前的护理需求，谁将根据计划采取行动，以及何时应该完成行动。结论.需要进一步研究协调的共同管理，其中明确界定了共同作用，并为所有主要参与者之间及时交流信息提供了工具。
Objectives. To assess primary care pediatric providers' comfort with co-managing patients with rare conditions. Methods. A survey was sent via an electronic link to pediatricians and family practitioners. Chi-square test of significance and Fisher's exact test were used for categorical variable comparisons and the Student's t test was used for continuous variable comparisons. Results. Most of the providers believed that care decisions are most frequently made by the specialist with consultation with the primary care clinician. The most common source of information is direct communication from the specialist. The most effective tool to increase clarity and comfort about provider roles was an active care plan identifying current care needs, who will act on the plan, and when the action should be completed. Conclusions. Coordinated co-management in which caregiving roles are explicitly defined and tools are available for the timely exchange of information among all key participants warrants further study.