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Master Thesis

La lettre de liaison de sortie d’hospitalisation au Centre Hospitalier de Dax : qu’en attendent les médecins généralistes ?

Abstract : Introduction: the discharge letter from the hospital has become mandatory since Jan.1, 2017, in replacement of the summary of the hospitalization. The discharge letter is an essential communication medium between the hospital and primary case physicians to ensure continuity in the care, to minimize the risk of an early return to the hospital, and to limit iatrogenic risk. The main topic of this dissertation is to evaluate the main expectations of the primary case physicians in the Dax area, concerning the discharge letter, and additionally to discuss possible improvements or evolution of the present practices of the Dax hospital concerning this letter. Method: A qualitative study by focus group was performed. It involved 16 primary case physicians of the Dax area on May 21, 2019, and June 5, 2019, and the verbatims were thematically analysed. Results: the discharge letter produced by the hospital has to be useful to primary case physicians, to hospital physicians, and to the patient as well. The discharge letter and the summary of the hospitalization are different in nature, providing different type of information. A rapid transmission of the information, by a secured e-mail, is a major requirement. In the case of death, the attending physician should be notified quickly by a phone call, possibly followed by a secured e-mail. Conclusion: the discharge letter from the outgoing hospital needs to be a synthesis document, enabling continuity in patient care, but cannot replace the complete summary of hospitalization.
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Master Thesis
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Submitted on : Friday, January 17, 2020 - 6:23:10 PM
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Diane Bloch. La lettre de liaison de sortie d’hospitalisation au Centre Hospitalier de Dax : qu’en attendent les médecins généralistes ?. Médecine humaine et pathologie. 2019. ⟨dumas-02444382⟩

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