[A single physician or a group of specialists in the surgical ward. I: Impact on quality of the care provided by specialists].
The impact on quality of ward care provided by surgeons within two continuity schedules was assessed by explicit and implicit audit. In one schedule one surgeon provided care and in another a staff of surgeons provided care. The study included 214 consecutive inpatients. The study demonstrated that quality of ward care was unaffected by continuity schedule. In the single surgeon continuity schedule, however, nearly twice as many discharge letters were posted within four days (p < 0.001). Likewise, twice as many contained information that the patients had been informed about the diagnosis (p < 0.05). In both continuity schedules about 20% of the patients received inadequate care. Analysis of this finding demonstrated that more patients had been subject to inadequate follow-up in the single surgeon continuity schedule, whereas more patients had been subject to inadequate postoperative observation in the staff continuity schedule. In both schedules an equal number of patients had been subject to incomplete diagnoses and inadequate medical care.
Sørensen
L T
LT
Kirurgisk afdeling K, Bispebjerg Hospital, København.
Frederiksen
H J
HJ
Kjaergaard
J
J
D003266:Continuity of Patient Care; D003718:Denmark; D005500:Follow-Up Studies; D006801:Humans; D008485:Medical Audit; D010348:Patient Care Team; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D010561:Personnel Staffing and Scheduling; D011446:Prospective Studies; D011787:Quality of Health Care; D013503:Surgery Department, Hospital / Q000592:standards*; D000078329:Workforce
Samme versus forskellige speciallaeger på stuegang. I: Indvirkning på kvaliteten af det laegefaglige arbejde.