[Mediocre quality of discharge reports concerning psychiatric patients].
OBJECTIVE
Determination of the quality of discharge letters concerning psychiatric patients.


METHODS
Descriptive.


METHODS
29 community mental health clinics in The Netherlands.


METHODS
420 hospital discharge letters were examined according to 13 quality criteria (reply time, legal status of the patient, reason for hospitalization, heteroanamnesis, source of income, alcohol use, drug use, physical findings, approach, structural diagnosis, DSM-III-R diagnosis, number of words, signature by psychiatrist) derived from a Dutch guideline for discharge letters.


RESULTS
The letters did not reach the aftercare attendant in time. The length of the letters was usually within 1050 words. Some formal criteria, like classification according to the DSM-III-R and signature were mostly met (in 67.1% and 90.9% of the letters). Important other information (for instance about a heteroanamnesis (24.8%), the source of income (23.1%), the use of alcohol (24%) or drugs (14.7%) and how to cope with the patient (8%)) were not sufficiently mentioned.


CONCLUSIONS
The quality of hospital discharge letters from community mental health clinics in The Netherlands was insufficient. Adequate exchange of information is essential to guarantee good care for psychiatric patients. Improvement of the quality of hospital discharge letters is therefore highly advisable.
Beyaert
E W
EW
Psychiatrisch Centrum Amsterdam, Valeriuskliniek.
Ubbink
M M
MM
Kaasenbrood
A J
AJ
D003266:Continuity of Patient Care / Q000592:standards; D006801:Humans; D008499:Medical Records / Q000592:standards*; D001523:Mental Disorders / Q000145:classification / Q000628:therapy*; D009426:Netherlands; D010351:Patient Discharge; D011785:Quality Assurance, Health Care