title: [Coordination between primary and specialized care in gastroenterology is insufficient. A survey of gastroenterologists and general practitioners].
abstract: OBJECTIVE
  Collaboration between general practitioners (GPs) and specialists is considered crucial to provide high-quality healthcare. The objective of this study was to analyze the relationship between gastroenterologists and GPs in regional hospitals and their referring primary care centers in Catalonia (Spain).
  
  
  METHODS
  A descriptive, observational, cross-sectional study was carried out using anonymous questionnaires between January and April 2008.
  
  
  RESULTS
  A total of 314 surveys were administered (261 GPs and 53 gastroenterologists). The overall relationship was considered highly deficient or insufficient by 62.3% of gastroenterologists (95% CI, 47.9-74.9) and by 55.6% of GPs (95% CI, 49.3-61.7). More than half (56.6%) of the gastroenterologists did not know any GPs, or only a very few, and the situation was the same for 80.4% of GPs. Sixty-four percent of gastroenterologists considered that the quality of care for digestive diseases in primary care was highly deficient or insufficient while 21.1% of GPs considered that the care provided by gastroenterologists was highly deficient or insufficient. The perception of healthcare in both primary and specialized settings was substantially better when there was good interaction between gastroenterologists and GPs.
  
  
  CONCLUSIONS
  Practitioners acknowledge that the degree of interaction between different levels of healthcare is insufficient. Moreover, gastroenterologists consider that the management of digestive diseases in primary care is deficient. Establishing a personal relationship between the two types of practitioners substantially improves mutual assessment.
authors.affiliation: Servei D'Urgéncies, Hospital de Sabadell, Institut Universitari Parc Taulí, Sabadell, Barcelona, España.
authors.forename: Emili
authors.initials: E
authors.lastname: Gené
authors.forename: Inmaculada
authors.initials: I
authors.lastname: García-Bayo
authors.forename: Mercè
authors.initials: M
authors.lastname: Barenys
authors.forename: Agueda
authors.initials: A
authors.lastname: Abad
authors.forename: Rafael
authors.initials: R
authors.lastname: Azagra
authors.forename: Xavier
authors.initials: X
authors.lastname: Calvet
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D003625:Data Collection; D004502:Education, Medical, Continuing; D005762:Gastroenterology / Q000193:education / Q000458:organization & administration*; D058005:General Practitioners / Q000193:education / Q000523:psychology*; D006764:Hospitals, Community; D006801:Humans; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D008499:Medical Records; D010820:Physicians / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration*; D013030:Spain; D013689:Telephone