Proposition d’un contenu standardisé et raisonné pour les lettres de liaison et les comptes-rendus d’hospitalisation à destination du médecin traitant

Abstract

Background: Communication between general practitioners (GPs) and hospitals is a weak point of the French health system. Unfortunately, hospital discharge documents, a keypoint for healthcare safety and efficiency, tend to be poorly defined. This study aimed to propose standardised and logical templates for discharge letters (DL) and discharge summaries (DS) with particular attention to GPs’ needs.Methods: A Delphi methodology was conducted on the findings of a systematic review of the international literature. We recruited 28 experts including producers (hospital physicians and interns), recipients (GPs, head of the medical information department, patient representatives), and other professionals using discharge documents (representative of regional health administration for inspection and control, jurist, pharmacists).Results: A consensus was reached after two rounds of consultation. According to the experts, DS should ideally be available on the last day of hospitalization, but this is rarely possible. DL have therefore become the most important document for GPs. Two standardised and logical templates were submitted to the experts for validation. The templates were considered to be pertinent by the experts and were perceived as improving several key points such as writing and reading speed, communication between hospitals and community practitioners or safety of healthcare after discharge from hospital.Conclusion: DL and DS templates will be tested in pilot hospitals by an impact study.

Environmental Genotoxicity Assessment Using Micronucleus (and Nuclear Abnormalities) Test on Intertidal Mussel Perumytilus purpuratus: A Tool for Biomonitoring the Chilean Coast

“…697 By taking joint action, cities amplify the impact of their policy decisions, which can complement or even substitute for action, or lack of action, at the national level. 698 Mayors of C40 cities, for instance, have pledged that their cities will use only emission free buses starting in 2025 and that by 2030 a major area of their cities would be emission free by 2030. 699 Nine African cities -Accra, Addis Ababa, Cape Town, Dakar, Dar es Salaam, Durban, Johannesburg, Lagos and Tshwane -have pledged to cut carbon emissions to zero by 2050.…”