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Inform Prim Care. 2004;12(2):67-73.

The electronic immediate discharge document: experience from the South West of Scotland.

Author information

1
Dumfries and Galloway Royal Infirmary, Dumfries, Scotland, UK. aorthopod@aol.com

Abstract

BACKGROUND:

Communication and transfer of information between healthcare professionals are essential to a seamless healthcare process, and are vital for ensuring that there is smooth transition of care for patients. Throughout the National Health Service (NHS) Scotland, there is a wide variability in the quality and quantity of information provided in the immediate discharge document (IDD).

AIMS:

To analyse general practitioner (GP) attitudes and responses on the quality and efficacy of an electronic IDD (e-IDD).

SETTING:

All GPs in Dumfries and Galloway.

METHODS:

GPs communicating electronically with the hospital were sent a survey questionnaire at the end of an 18-month pilot. An amended questionnaire surveying potential interest was sent to the remaining GPs in the region.

RESULTS:

The overall response rate was 70%. Eighty-one percent of practices connected received the e-IDD regularly, but the majority still used it in conjunction with its postal equivalent. Seventy percent complained of inadequacies in content relating to medication and follow-up information. Eighty percent agreed that it was faster and 68% felt significant cost savings could be made. Eighty-eight percent wanted a multidisciplinary input. Concerns were raised about funding, need for adequate training and back-up systems. Ninety-six percent were optimistic that in future other forms of clinical communications could be sent electronically.

CONCLUSION:

Discharge content is more important than delivery method. Emphasis should be placed on ensuring standards are met on the quality and quantity of current e-discharge documents. Further clarification is required on patient confidentiality issues and legal validity of electronic patient records. E-health is to play a larger and ever-increasing role in the NHS in Scotland.

PMID:
15319058
DOI:
10.14236/jhi.v12i2.110
[Indexed for MEDLINE]
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