Direct phone communication to primary care physician to plan discharge from hospital: feasibility and benefits

BMC Health Services Research

Perrine Dumanoir¹  Pascal Couturier²  Lukas Enzinger³  Patrice Francois⁴  Bastien Boussat⁴ 

[1] Département Universitaire de Médecine Interne, CHU Grenoble Alpes, Grenoble, France;Service Universitaire de Gériatrie et Gérontologie Clinique, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France;Service Universitaire de Gériatrie et Gérontologie Clinique, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France;Centre Gérontologique Sud, CHU Grenoble-Alpes, avenue de Kimberley, CS 90338, 38434, Echirolles, Cedex, France;Service d’épidémiologie et évaluation médicale, CHU Grenoble Alpes, Grenoble, France;Laboratoire TIMC-IMAG, UMR 5525 CNRS, Univ. Grenoble Alpes, Grenoble, France;

关键词: Patient discharge;    Communication;    Primary care physicians;    Hospitalists;    Interprofessional relations;    Telephone;   

DOI  :  10.1186/s12913-021-07398-w

来源: Springer

【 摘 要 】

BackgroundThe discharge summary is the main vector of communication at the time of hospital discharge, but it is known to be insufficient. Direct phone contact between hospitalist and primary care physician (PCP) at discharge could ensure rapid transmission of information, improve patient safety and promote interprofessional collaboration. The objective of this study was to evaluate the feasibility and benefit of a phone call from hospitalist to PCP to plan discharge.MethodsThis study was a prospective, single-center, cross-sectional observational study. It took place in an acute medicine unit of a French university hospital. The hospitalist had to contact the PCP by telephone within 72 h prior discharge, making a maximum of 3 call attempts. The primary endpoint was the proportion of patients whose primary care physician could be reached by telephone at the time of discharge. The other criteria were the physicians’ opinions on the benefits of this contact and its effect on readmission rates.Results275 patients were eligible. 8 hospitalists and 130 PCPs gave their opinion. Calls attempts were made for 71% of eligible patients. Call attempts resulted in successful contact with the PCP 157 times, representing 80% of call attempts and 57% of eligible patients. The average call completion rate was 47%. The telephone contact was perceived by hospitalist as useful and providing security. The PCPs were satisfied and wanted this intervention to become systematic. Telephone contact did not reduce the readmission rate.ConclusionsDespite the implementation of a standardized process, the feasibility of the intervention was modest. The main obstacle was hospitalists lacking time and facing difficulties in reaching the PCPs. However, physicians showed desire to communicate directly by telephone at the time of discharge.Trial registrationFrench C.N.I.L. registration number 2108852. Registration date October 12, 2017.

【 授权许可】

CC BY