Coopération ville-hôpital : évaluation de la faisabilité et de l'intérêt de l'appel téléphonique par le médecin hospitalier du médecin traitant pour préparer le retour à domicile

Abstract : Objective: The lack of cooperation between primary care physicians (PCPs) and hospitalists during hospital discharge is significant. The objective was to evaluate the practicability and the benefits of hospitalist phone calling PCPs to plan the home return. Search methods: It was an observational transversal study. It took place in the post-emergency department of the Grenoble University Hospital. Hospitalists had to reach PCPs by phone 72 hours preceding discharge, with a maximum of 3 call attempts. Main results: 275 patients were included. Intervention was achieved for 196 patients, and succeeded for 80 % of them. The total phone calls success rate was 47 %. The practicability of the intervention was good. Hospitalists and PCPs showed substantial interested in the intervention. Discussion: The intervention was a success. Its practicability was acceptable despite some hurdles in reaching the PCPs. The significant participation of the hospitalists demonstrates their interest. The interest of PCPs was also high as 83% of them would like to see intervention to become systematic. The benefits were more pronounced for old patients with low functional status. When the intervention succeeded, the 30 days readmission rate was lower for patient aged 75 and more. Authors’ conclusions: The feasibility and the benefits of this intervention have been demonstrated. It seems to be a promising lead for improve cooperation between hospitals and community care. It should be supported by larger discharge planning programs.
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Master Thesis
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Submitted on : Friday, November 16, 2018 - 3:25:57 PM
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  • HAL Id : dumas-01925265, version 1

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Lukas Enzinger. Coopération ville-hôpital : évaluation de la faisabilité et de l'intérêt de l'appel téléphonique par le médecin hospitalier du médecin traitant pour préparer le retour à domicile. Médecine humaine et pathologie. 2018. ⟨dumas-01925265⟩

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