A Survey of request of consultation in "Loghman Hakim Hospital", 2001

Z Aminzadeh, SH Salehpoor, L Gachkar

Abstract


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Background: Good communication of medical professionals is an essential requirement for quality medical care. One means of this communication are letters of consultation request.
Purpose: To investigate the quality of letters of consultation requests in terms of their effectiveness to establish proper communication of caring physician with consultants.
Methods: All the Loghman Hakim Hospital's medical record which contained consultations for infectious disease from May 25, 2001 to November 25, 2001 were included. The records were examined for the inclusion of reason for referral, sufficient data in terms of history, therapeutic issues and paraclinic results and the recommendations regarding therapeutic issues including starting antibiotic therapy ,change of drug regimen, asking for one more follow up visit, recommending consultation with other specialist were extracted.
Results: 110 files were studied with (49%) 54 cases , labeled “ urgent” and (23%) 25 cases , labeled “ Not urgent “ and 31 cases (28%) not determined . In only (29%) 32 cases the identification data of the patient was filled out completely . Only in less than (42% ) 46 cases , was the clinical information given in the letter satisfactory .Only in (44%) 49 cases was the main question of the consultation evident. In (94%) 104 cases , the recommendations given by the consultant were specific and clear cut. In 110 consultations the overall number of recommendations was 861( 8 recommendations for each consultation ).
Conclusion: As the letter of consultation request play an important role specifically for patient with more complicated conditions measures should be taken to improve this competency.
Keywords:CONSULTATION

Keywords


CONSULTATION

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References


- Merli G,Wetiz H. The medical consultant. Med Clin North Amer 1987 May; 71(3) .

–Goldman L, Lee T, Rudd P. Ten commandments for effective consultations. Arch Intern Med 1983; 143 : 1753 - 1755.

-Horwitz RI , Henes CG, Horwitz SM. Developing strategies for improving the diagnostic management efficacy of medical consultations. J Chronic Dis, 1983;36: 213 –218 .

- Lee T, Pujysum EM , Gold man L . Impact of inter physician communication on the effectiveness of medical consultations . AM J

Med . 1983; 74 : 106 –117 .

-Pupa LE , Conentry JA , Hanley JF, et al . Factors affecting compliance for general medicine consultation to non – internists . A J Med ;1986; 81 : 508 –514 .

- Rudd P , Seigler M , Buyny RL . perioperative diabetic consultation : A plan for improved training . J Med Educ ; 1978;53L: 590 - 596 .

- Klein LE, Levine DM, Moore RD, et al . The pre-operative consultation: Response to internists, recommendations. Arch Intern Med. 1983;143:

- 744 .

-Gross RJ, Caputo GM. Medical consultation (Kammerer and Gross). Third edition 1998;PP:1-8.

-Ferguson RP, Rubinstien E. Pre-operative medical consultations in a community hospital . J Gen Intern Med . 1987;2 : 89- 92 .

- Sears CL, Challson ME. The effectiveness of a consultation.AM J Med. 1983;74: 870 – 876.

-Ballard W, Gold JP, Charlston ME. Compliance with the recommendations of medical consultants . J Gen Intern Med . 1986;1: 220 – 224 .

- Klein LE , Moore RD, Levine DM , et al . effectiveness of medical consultations . J Med Educ . 1983;58 : 149 - 151 .

-Taranchuk VS. Means for further improvement in the activities of hospital consultation committees as support systems for the management of the quality of medical care: Ukraine, Liksprara; 1995 sep - Dec; (9-12): 192-3.

-Nessa J. From a medical consultation to a written text 2 : pragmatics and text linguisitcs applied to medicine. Scand J Prim Health care.

Jun; 13(2): 89-92 .

-Schlech WF. The practice of infectious diseases in the 1990 S: The Canadian experience. Nova Scotia. Canada clin infect Dis. 1995 Feb;

(2): 291-5.

-Cotton MF. Telephone calls to an infectious diseases fellow: Denver, USA. Pediatrics. 1995 May; 95(5): 733-4.

- Smego RA, Khakoo RA, Burnside CA, Lewis M J. The benefits of telephone- access medical consultation: Morgantown. J Rural Health. 1993 Summer; 9(3): 240 - 5.

- Roberts JJ, Skidmore CA, Robertson JR. Human immunodeficiency virus in drug misusers and increased consultation in general practice. J R

Coll Gen Pract. 1989 Sep; 39 (326): 373-4.




DOI: https://doi.org/10.22037/jme.v4i1.857

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