Email communication at the medical primary–secondary care interface: a qualitative exploration

Sampson, Rod; Barbour, Rosaline S.; Wilson, Philip

doi:10.3399/bjgp16x685273

Cited by 15 publications

(10 citation statements)

References 28 publications

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“…Amongst surveys and qualitative studies there is also a predominance of those concerned with patient/caregiver – professional communication. Those that do examine inter-professional communication highlight a range of perceived benefits, including convenience [ 41 42 ], the chance to disseminate information across a wide network [ 43 ], and the ability to keep an audit trail of communication [ 44 45 ]. However, they also point to limitations and areas of concern.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Gross et al [ 48 ] describe a case study where the introduction of an electronic health record system led to damage to mutual trust amongst members of the inter-professional team. A study of the use of e-mail between primary and secondary care in the UK found that while some practitioners said they had been able to build good relationships beginning with e-mail contact, others felt that they required a personal, face-to-face relationship before they could use e-mail effectively [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

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“Go Make Your Face Known”: Collaborative Working through the Lens of Personal Relationships

King

Bravington

Brooks

et al. 2017

International Journal of Integrated Care

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Background:Collaborative working between professionals is a key component of integrated care. The academic literature on it largely focuses either on integration between health and social care or on the dynamics of power and identity between doctors and nurses. With the proliferation and extension of nursing roles, there is a need to examine collaborative working amongst different types of nurses.Method:This study explored experiences of collaborative working amongst generalist and specialist nurses, in community and acute settings. We carried out semi-structured interviews, incorporating the Pictor technique, with 45 nurses, plus 33 other key stakeholders. Transcripts were analysed using Template Analysis. This article focuses on one major thematic area that emerged from the analysis: the significance of interpersonal relationships amongst nurses, and between them and other professionals, patients and carers.Results:Relationship issues were ubiquitous in participants’ accounts of collaborative working. Good personal relationships facilitated collaboration; face-to-face interaction was especially valued. Relationships were recognized as requiring effort, especially in new roles. Organisational changes could disrupt productive personal networks.Conclusion:Relationship issues are integral to successful collaborative working. Policy and practice leaders must take this into account in future service developments. Further research into collaborative relationships in different settings is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“Go Make Your Face Known”: Collaborative Working through the Lens of Personal Relationships

King

Bravington

Brooks

et al. 2017

International Journal of Integrated Care

View full text Add to dashboard Cite

show abstract

“…This means that although communications can be easily digitally supported, in real life, communication appears to be not as easy as that. 63 – 65 …”

Section: Discussionmentioning

confidence: 99%

The COPDnet integrated care model

Koolen¹,

Wees²,

Westert³

et al. 2018

COPD

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IntroductionThis research project sets out to design an integrated disease management model for patients with COPD who were referred to a secondary care setting and who qualified for pharmacological and nonpharmacological intervention options.Theory and methodsThe integrated disease management model was designed according to the guidelines of the European Pathway Association and the content founded on the Chronic Care Model, principles of integrated disease management, and knowledge of quality management systems.ResultsAn integrated disease management model was created, and comprises 1) a diagnostic trajectory in a secondary care setting, 2) a nonmedical intervention program in a primary care setting, and 3) a pulmonary rehabilitation service in a tertiary care setting. The model also includes a quality management system and regional agreements about exacerbation management and palliative care.DiscussionIn the next phase of the project, the COPDnet model will be implemented in at least two different regions, in order to assess the added value of the entire model and its components, in terms of feasibility, health status benefits, and costs of care.ConclusionBased on scientific theories and models, a new integrated disease management model was developed for COPD patients, named COPDnet. Once the model is stable, it will be evaluated for its feasibility, health status benefits, and costs.

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“…We know that email at the interface can play an important role should a GP require a ‘quick answer’ from a specialist in relation to patient care. 5 Indeed, two individual specialists from distinct hospital departments were giving serious consideration to the set-up of generic specialist email (a system whereby a hospital department sets up a generic email address, creating a single point of contact, to help ensure clarity over focus of contact and often with some guarantee of timeliness of response). Prereferral e-consultation at the interface has been found to moderate referral effectively and ensure referrals were appropriate.…”

Section: Discussionmentioning

confidence: 99%

Improving the primary-secondary care interface in Scotland: a qualitative exploration of impact on clinicians of an educational complex intervention

Sampson¹,

MacVicar

Wilson

2017

BMJ Open

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ObjectivesTo determine the impact on clinicians and any consequent influence on patient care of taking part in the bespoke interface-focused educational intervention.DesignQualitative design.SettingPrimary and secondary care centres in NHS Highland health board area, Scotland.Participants33 urban-based clinicians (18 general practitioners and 15 hospital specialists) in NHS Highland, Scotland.InterventionAn interface-focused educational intervention was carried out in primary and secondary care centres in NHS Highland health board area, Scotland. Eligible clinicians were invited to take part in the intervention which involved facilitated small group work, and use of a bespoke educational module. Subsequent one-to-one interviews explored the impact of the intervention. A standard thematic analysis was used, comprising an iterative process based on grounded theory.ResultsKey themes that emerged included fresh insights (in relation to those individuals and processes across the interface), adoption of new behaviours (eg, being more empowered to directly contact a colleague, taking steps to reduce the others workload and changes in professional approach) and changes in terms of communication (including a desire to communicate more effectively, with use of different modes and methods).ConclusionThe study highlighted key areas that may serve as useful outcomes for a large-scale randomised trial. Addressing issues identified in the study may help to improve interface relationships and benefit patient care.

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Email communication at the medical primary–secondary care interface: a qualitative exploration

Cited by 15 publications

References 28 publications

“Go Make Your Face Known”: Collaborative Working through the Lens of Personal Relationships

“Go Make Your Face Known”: Collaborative Working through the Lens of Personal Relationships

The COPDnet integrated care model

Improving the primary-secondary care interface in Scotland: a qualitative exploration of impact on clinicians of an educational complex intervention

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