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K S Freund

Publications and source records attributed to K S Freund.

3 recordsLinked to original sources

[Epicrises from a department of medical gastroenterology].

The content of discharge letters is important to general practice in order to give an optimal physical, psychiatric and social treatment in view of ideal utilization of the resources in the primary health service. The content of 91 discharge letters from a medical department of gastroenterology was judged by the general practitioner. Most often medication on discharge (25%) and reason for referral (15%) were missing. Dissatisfaction was expressed about late receipt of discharge letters (median: 13 days), the lack of information given to the patients, medicine on discharge, as well as reasons for possible changes in medication. The quality and content of the discharge letter were evaluated as good on the whole (80%). It is concluded that the discharge letter should have a higher priority and, for example, training is necessary. Further investigations are needed to solve these problems.

Continuity of Patient Care↗

[Referral to a department of medical gastroenterology. A study of the content of the referral letter and the reasons for referral].

Knowledge concerning factors that affect referrals of patients by general practitioners to hospitals is important in view of optimal utilization of the resources. Out of 108 referrals from general practitioners to a medical department of gastroenterology, information about the medical history was insufficient in about half the cases, and in 3/4 of the cases information about medicine was absent. Information about allergy and social conditions was found in only a few cases. The reason for referral was in most cases to establish a diagnosis and treatment. It is concluded, that if functions in a medical department of gastroenterology are to be moved to the general practitioners, more education in diagnostic procedures and treatment is needed. Further investigations are needed to solve these problems.

Denmark↗