| Statement (GP/NHP or HP variant) | Physicians by care setting | |||
|---|---|---|---|---|
| GP,n = 259,n (%) | HP,n = 205,n (%) | NHP,n = 83,n (%) | ||
| GP/NHP: In case it is determined in the hospital that a patient has a serious incurable disease, I am adequately informed about this.a,bHP: In case it is determined in the hospital that a patient has a serious incurable disease, I inform the GP adequately. | 223 (86.1) | 193 (94.1) | 49 (59.0) | |
| GP/NHP: Collaboration with care providers from the hospital is important for me to be able to provide good care.cHP: Collaboration with the GP is important for me to be able to provide good care. | 233 (90.0) | 190 (92.7) | 74 (89.2) | |
| GP/NHP: In case a patient known to have a limited life expectancy is admitted to hospital unscheduled, I am informed about this within 48 hours.dHP: In case a patient known to have a limited life expectancy is admitted to hospital unscheduled, I inform the GP adequately. | 187 (72.2) | 127 (62.0) | 29 (34.9) | |
| GP/NHP: In case a patient with a limited life expectancy is discharged after being admitted to hospital under my responsibility, I am informed about this within 24 hours.eHP: In case a patient with a limited life expectancy is discharged after being admitted to hospital under my responsibility, I inform the GP adequately. | 186 (71.8) | 187 (91.2) | 55 (66.3) | |
| GP/NHP: In case a patient with a limited life expectancy is discharged after an unplanned admission to hospital, I (GP or NHP) receive adequate information from the hospital aboutf:HP: In case a patient with a limited life expectancy is discharged after an unplanned admission to hospital, I (HP) inform the GP adequately about: | ||||
| … the medical situation of the patient | 217 (83.8) | 193 (94.1) | 52 (62.7) | |
| … the psychosocial situation of the patient | 39 (15.1) | 127 (62.0) | 11 (13.3) | |
| … the prognosis of the patient | 113 (43.6) | 158 (77.1) | 24 (28.9) | |
| … the medication that patient uses | 221 (85.3) | 187 (91.2) | 77 (92.8) | |
| … wishes and agreements of or with patient about treatment and care | 75 (29.0) | 171 (83.4) | 18 (21.7) | |
| GP/NHP: In case a patient dies in hospital during admission, I am informed.gHP: In case a patient dies in hospital during admission, I inform the GP about this within 24 hours. | 223 (86.1) | 187 (91.2) | 26 (31.3) | |
| GP/NHP: In case a patient dies outside the hospital, I ensure that the treating HP is informed about this.hHP: In case a patient dies outside the hospital, I am informed about this. | 142 (54.8) | 31 (15.1) | 40 (48.2) | |
| GP/NHP: Poor collaboration with the HP hinders me in providing good care to patients with a limited life expectancy.iHP: Poor collaboration with the GP hinders me in providing good care to patients with a limited life expectancy. | 86 (33.2) | 41 (20.0) | 40 (48.2) | |
| Quality of collaboration with the hospital (was asked to GP and NHP) or with the GP (was asked to HP) for patients with a limited life expectancy in the past year.j | Mean (SD)kInadequate (≤5)Adequate (≥6) | 7.3 (1.0)10 (3.9)245 (94.6) | 7.5 (1.1)6 (2.9)190 (92.7) | 6.2 (1.3)21 (25.3)62 (74.7) |
aPhysicians could answer on a four point scale: ‘always’, ‘often’, ‘sometimes’, ‘never’. Only combined ‘always’ or ‘often’ answers are shown. bMissing total: n = 14 (2.6%) (GP: n = 4, HP: n = 4, NHP: n = 6). cMissing total: n = 9 (1.6%) (GP: n = 5, HP: n = 4, NHP: n = 0). dMissing total: n = 22 (4.0%) (GP: n = 5, HP: n = 10 , NHP: n = 7). eMissing total: n = 25 (4.6%) (GP: n = 8, HP: n = 10, NHP: n = 7). fMissing total for ‘...the medical situation of the patient’: n = 14 (2.6%) (GP: n = 4, HP: n = 10, NHP: n = 0). ‘...the psychosocial situation of the patient’: n = 13 (2.4%) (GP: n = 2, HP: n = 11, NHP: n = 0). ‘… the prognosis of the patient’: n = 20 (3.7%) (GP: n = 5, HP: n = 15, NHP: n = 0). ‘... the medication that patient uses’: n = 15 (2.7%) (GP: n = 4, HP: n = 11, NHP: n = 0). ‘… wishes and agreements of/with patient about treatment and care’: n = 19 (3.5%) (GP: n = 7, HP: n = 10, NHP: n = 2). gMissing total: n = 24 (4.4%) (GP: n = 6, HP: n = 11, NHP: n = 7). hMissing total: n = 19 (3.5%) (GP: n = 2, HP: n = 10, NHP: n = 7). iMissing total: n = 12 (2.2%) (GP: n = 4, HP: n = 8, NHP: n = 0). jMissing total: n = 13 (2.4%) (GP: n = 4, HP: n = 9, NHP: n = 0). kPhysicians were asked to give a score for the quality of collaboration with physicians from outside their own organisation on a scale from 1 to 10 with a higher score representing a higher assessment of quality; an inadequate score was ≤5, an adequate score was ≥6. HP = hospital physician. NHP = nursing home physician. SD = standard deviation.