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What makes a “successful” or “unsuccessful” discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters ...
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What makes a “successful” or “unsuccessful” discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters ...
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What makes a “successful” or “unsuccessful” discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters
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In: BMC Health Serv Res (2021)
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What makes a “successful” or “unsuccessful” discharge letter? Hospital clinician and General Practitioner assessments of the quality of discharge letters
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GP perspectives on hospital discharge letters: an interview and focus group study
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In: BJGP Open (2020)
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Adult patient perspectives on receiving hospital discharge letters: a corpus analysis of patient interviews
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In: BMC Health Serv Res (2020)
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Improving HIV/AIDS consultations in Malawi : how interactional sociolinguistics can contribute
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Adult patient perspectives on receiving hospital discharge letters : a corpus analysis of patient interviews
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GP perspectives on hospital discharge letters : an interview and focus group study
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Abstract:
Background: Written discharge communication following inpatient or outpatient clinic discharge is essential for communicating information to the GP, but GPs’ opinions on discharge communication are seldom sought. Patients are sometimes copied into this communication, but the reasons for this variation, and the resultant effects, remain unclear. Aim: To explore GP perspectives on how discharge letters can be improved in order to enhance patient outcomes. Design & setting: The study used narrative interviews with 26 GPs from 13 GP practices within the West Midlands, England. Method: Interviews were transcribed and data were analysed using corpus linguistics (CL) techniques. Results Elements pivotal to a successful letter were: diagnosis, appropriate follow-up plan, medication changes and reasons, clinical summary, investigations and/or procedures and outcomes, and what information has been given to the patient. GPs supported patients receiving discharge letters and expounded a number of benefits of this practice; for example, increased patient autonomy. Nevertheless, GPs felt that if patients are to receive direct discharge letter copies, modifications such as use of lay language and avoidance of acronyms may be required to increase patient understanding. Conclusion: GPs reported that discharge letters frequently lacked content items they assessed to be important; GPs highlighted that this can have subsequent ramifications on resources and patient experiences. Templates should be devised that put discharge letter elements assessed to be important by GPs to the forefront. Future research needs to consider other perspectives on letter content, particularly those of patients.
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Keyword:
R Medicine (General)
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URL: http://wrap.warwick.ac.uk/136937/1/WRAP-GP-perspectives-hospital-discharge-letters-interview-focus-group-study-Weetman-2020.pdf http://wrap.warwick.ac.uk/136937/ https://doi.org/10.3399/bjgpopen20X101031
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A critical reflection of current trends in discourse analytical research on leadership across disciplines. A call for a more engaging dialogue
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A critical reflection of current trends in discourse analytical research on leadership across disciplines. A call for a more engaging dialogue
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That match was “a bit like losing your virginity”. Failed humour, face and identity construction in TV interviews with professional athletes and coaches
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Improving best practice for patients receiving hospital discharge letters : a realist review
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Adapting self for private and public audiences: The enactment of leadership identity by New Zealand rugby coaches in huddles and interviews
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Adapting self for private and public audiences : the enactment of leadership identity by New Zealand rugby coaches in huddles and interviews
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