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En pasient, to verdener – samhandling mellom sykehjemsleger og sykehusleger
Engelsk titel: One patient, two worlds – coordination between nursing home and hospital doctors Läs online Författare: Romören, Maria ; Pedersen, Reidar ; Förde, Reidun Språk: Nor Antal referenser: 25 Dokumenttyp: Artikel UI-nummer: 17020352

Tidskrift

Tidsskrift for Den Norske Laegeforening 2017;137(3)193-7 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

BACKGROUND: Increasingly poor health in the nursing home population and transfer of responsibilities to the municipal health services place great demands on collaboration between primary and secondary health services. The article presents the opinions of nursing home and hospital doctors with regard to treatment of nursing home patients and their descriptions of the coordination between doctors at the two levels. MATERIAL AND METHOD: This qualitative study was conducted in a Norwegian county in 2011 – 12. The results are based on manifest content analysis of ten focus group interviews with a total of 46 nursing home doctors, and eight focus group interviews with 41 hospital doctors from the medical departments in the public county hospital. RESULTS: From their respective standpoints, both groups of doctors were concerned about unnecessary admissions and overtreatment in hospitals. They had widely differing approaches to patient treatment and communicated that little coordination took place in the treatment of nursing home patients. Both groups described strikingly little communication between the doctors in the context of transfer between the levels. INTERPRETATION: Preconceived notions, negative experiences and lack of communication may reduce trust and prevent proper dialogue about patients. This may cause both over- and undertreatment, as well as give rise to erroneous expectations. The municipal health services and the hospitals share the responsibility for appropriate coordination and treatment of individual patients from nursing homes.