Journal of Nippon Medical School: Vol.66 No.4 page.270

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ArticleTitle Research on the influences that affect the physician's perception of discharge summaries -A survey of outpatient department physicians-

AuthorList Shuyi Zhou, Kazue Takayanagi and Tetsuhiko Kimura

Affiliation Department of Health Services Administration, Nippon Medical School

Language JA

Volume 66

Issue 4

Year 1999

Page 270-278

Received March 2, 1998

Accepted March 15, 1999

Keywords discharge summary, outpatient medical care, size of hospital, medical record management system , format of discharge summary

Abstract The object of this study was to improve the completion of discharge summaries. The purpose of this article is: 1. to describe the perceptions of outpatient department physicians as to whether incomplete discharge summaries affect outpatient medical care or not, and 2. to elucidate the factors contributing to their perceptions. The physicians were randomly selected from among "the National Certified Training Hospitals" and "Japan Society for Quality in Health Care", and the size of the hospitals, the medical record management system and the format of the discharge summary were chosen for analysis of the factors that affect physicians'perceptions. Of the 2, 304 questionnaires sent, 935 (40.6%) were returned. The results showed that 832 (89.0%) of the physicians thought that outpatient medical care would be affected if discharge summaries were not completed. Based on the analysis of the factors affecting the perceptions of the physicians, there was a trend showing that the influence was lower in small hospitals (p< 0.05), that the centralized management system for medical records had a higher influence (p< 0.05), and that the format of the discharge summary also affects physician's perceptions (p< 0.05).

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ArticleTitle	Research on the influences that affect the physician's perception of discharge summaries -A survey of outpatient department physicians-
AuthorList	Shuyi Zhou, Kazue Takayanagi and Tetsuhiko Kimura
Affiliation	Department of Health Services Administration, Nippon Medical School
Language	JA
Volume	66
Issue	4
Year	1999
Page	270-278
Received	March 2, 1998
Accepted	March 15, 1999
Keywords	discharge summary, outpatient medical care, size of hospital, medical record management system , format of discharge summary
Abstract	The object of this study was to improve the completion of discharge summaries. The purpose of this article is: 1. to describe the perceptions of outpatient department physicians as to whether incomplete discharge summaries affect outpatient medical care or not, and 2. to elucidate the factors contributing to their perceptions. The physicians were randomly selected from among "the National Certified Training Hospitals" and "Japan Society for Quality in Health Care", and the size of the hospitals, the medical record management system and the format of the discharge summary were chosen for analysis of the factors that affect physicians'perceptions. Of the 2, 304 questionnaires sent, 935 (40.6%) were returned. The results showed that 832 (89.0%) of the physicians thought that outpatient medical care would be affected if discharge summaries were not completed. Based on the analysis of the factors affecting the perceptions of the physicians, there was a trend showing that the influence was lower in small hospitals (p< 0.05), that the centralized management system for medical records had a higher influence (p< 0.05), and that the format of the discharge summary also affects physician's perceptions (p< 0.05).
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