Gaster, F. (Francisca) (2015) De huidige informatie-uitwisseling tussen eerste en tweede lijn voorafgaand aan en tijdens de start van behandelingen van longcarcinoom. thesis, Medicine.
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Abstract
Objective/introduction Continuity of care is of great importance in oncology care. Good communication between primary and secondary care is necessary to improve the quality of care and the outcomes of oncology patients. There is a lot of dissatisfaction about the current information exchange between primary and secondary care. Aim of this study was to gain more insight in the current information exchange between primary and secondary care before and during the start of the treatment of lung cancer patients. The study was part of a larger project about the current and desired information exchange between primary and secondary care in oncology care. Methods Medical records of patients with lung cancer, treated in 2014 in the University Medical Center of Groningen, were analyzed by thematic analysis. The software Atlas.ti® was used for analyzing. Inductive and deductive methods were combined, with an iterative process of coding and analyzing until saturation was achieved. All letters between referral to specialist and start of the treatment were included. A Total of 17 referral letters and 93 letters from medical specialists were analyzed. Additionally four interviews were conducted and quantitative information was collected. Findings In the referral letters it was noticed that little was disclosed about intoxications, the course and physical examination. No psychosocial information was given. When reporting of the medical history, it was quite often as a print out of the episode list from the Huisartsen Informatiesysteem (HIS). In letters from the hospital to the general practitioner (GP), it is noteworthy that in case of the policy, barely any information was given about the treatment goal, expected positive and negative treatment effects and any advice given to the GP. Exception were the letters from the radiology department. Information about what the patient was told, e.g. about the disease and prognosis and how the news is perceived, wasn’t found in almost all the letters to the GP. Conclusions Referral letters and letters from the hospital to the GP both show possible improvements for enhancing information exchange between primary and secondary care with regard to patients with lung cancer. Information in referral letters could possibly be more complete and more organized. Letters from the hospital to the GP could be better in providing detailed information about the treatment and its possible effects and about what the patient is told. The results are partially in accordance with previously published literature. Further research shall further disclose mismatches in the current and expected information exchange between primary and secondary care, so that improvement strategies can be devised.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Roorda-Lukkien, Dr. C. and Meijer, Dr. J.M. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:42 |
| Last Modified: | 25 Jun 2020 10:42 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/332 |
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