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Inter-physician Communication in Pediatric Orthopaedics: What do Pediatricians Want to Hear From us?
Journal of Pediatric Orthopaedics ( IF 1.7 ) Pub Date : 2023-11-20 , DOI: 10.1097/bpo.0000000000002561
Ravi Rajendra 1 , Shay Laporte 2 , Claudia Leonardi 3 , R Carter Clement 1, 4
Affiliation  

BACKGROUND Pediatric orthopaedic surgeons often communicate with general pediatric providers to facilitate patient care, but little data exist on communication preferences. This study investigates pediatric provider preferences regarding when they would like to receive patient updates from pediatric orthopedists, which communication modalities they prefer, and what information they like to receive. METHODS We developed a 19-question e-mail survey to evaluate provider preferences on communication modality, timing, frequency, and what data they deem important as it relates to musculoskeletal patient care. RESULTS A total of 111 general pediatric providers in our geographical region completed the survey. Among the providers, 55.9% preferred fax, 40.5% electronic health record inbox message, 19.8% e-mail, 12.6% mail, and 7.2% call/voicemail. The majority (67.9%) preferred information in a traditional note format, whereas 24.8% preferred a summary in paragraph format. Patient diagnosis and treatment plan for shared patients were the most important pieces of information for general pediatric providers to receive from pediatric orthopedists. Of various patient-specific scenarios included in the survey, referrals for osteomyelitis concern, fractures requiring surgery, scoliosis concern, and developmental dysplasia of the hip requiring treatment were considered most important for pediatric orthopedists to send updates. In terms of frequency of communication, over half of the pediatric providers (59.5%) desired updates after the first visit and after care plan changes (50.5%). CONCLUSION Only 43.5% of pediatric providers feel like current communication with pediatric orthopaedic surgeons is "always" or "often" adequate. Most of our surveyed providers preferred occasional SOAP notes through fax as communication from pediatric orthopaedic surgeons. The communication deemed most important to providers related to referrals where the provider makes the initial diagnosis and then refers the patient to orthopaedics for a condition with potential long-term patient impacts. Finally, providers felt communication was most important after the first pediatric orthopaedic office visit. EVIDENCE Level III, survey based.

中文翻译:

儿科骨科医师间沟通:儿科医生想从我们这里听到什么?

背景技术儿科整形外科医生经常与普通儿科服务提供者沟通以促进患者护理,但关于沟通偏好的数据很少。这项研究调查了儿科医疗服务提供者的偏好,包括他们希望何时从儿科骨科医生处接收患者更新信息、他们喜欢哪种沟通方式以及他们喜欢接收哪些信息。方法 我们制定了一项包含 19 个问题的电子邮件调查,以评估提供者对沟通方式、时间、频率以及他们认为与肌肉骨骼患者护理相关的重要数据的偏好。结果 我们所在地理区域共有 111 名普通儿科提供者完成了调查。在提供商中,55.9% 首选传真,40.5% 首选电子健康记录收件箱消息,19.8% 首选电子邮件,12.6% 首选邮件,7.2% 首选电话/语音邮件。大多数人 (67.9%) 更喜欢传统笔记格式的信息,而 24.8% 更喜欢段落格式的摘要。共享患者的患者诊断和治疗计划是普通儿科服务提供者从儿科骨科医生那里获得的最重要的信息。在调查中包括的各种患者特定情况中,对骨髓炎问题、需要手术的骨折、脊柱侧弯问题和需要治疗的髋关节发育不良的转诊被认为是儿科骨科医生发送更新信息最重要的。就沟通频率而言,超过一半的儿科服务提供者 (59.5%) 希望在首次就诊后和护理计划变更后 (50.5%) 进行更新。结论 只有 43.5% 的儿科服务提供者认为目前与儿科骨科医生的沟通“始终”或“经常”充分。我们接受调查的大多数医疗服务提供者更喜欢偶尔通过传真发送 SOAP 注释作为儿科整形外科医生的沟通方式。对于与转诊相关的提供者来说,沟通被认为是最重要的,在转诊中,提供者做出初步诊断,然后将患者转诊至骨科,以了解可能对患者产生长期影响的病症。最后,医疗服务提供者认为,在第一次儿科骨科门诊就诊后,沟通是最重要的。证据级别 III,基于调查。
更新日期:2023-11-20
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