Evidence map›Paper›PMID 32398346›Full record

ArticleBJGP open2020

GP perspectives on hospital discharge letters: an interview and focus group study.

Katharine Weetman, Jeremy Dale, Rachel Spencer, Emma Scott, Stephanie Schnurr

Abstract read
In one paragraph

Article in BJGP open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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  11. 'You're Just Thinking About Going Home': Exploring Person-Centred Medication Communication With Older Patients at Hospital Discharge.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
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  16. ChatGPT in Plastic and Reconstructive Surgery.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2023
    Review
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Katharine WeetmanUnit of Academic Primary Care, University of Warwick, Warwick Medical School, Coventry, UK K.Weetman@warwick.ac.uk.
Jeremy DaleUnit of Academic Primary Care, University of Warwick, Warwick Medical School, Coventry, UK.
Rachel SpencerUnit of Academic Primary Care, University of Warwick, Warwick Medical School, Coventry, UK.
Emma ScottUnit of Academic Primary Care, University of Warwick, Warwick Medical School, Coventry, UK.
Stephanie SchnurrCentre for Applied Linguistics, University of Warwick, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWritten discharge communication following inpatient or outpatient clinic discharge is essential for communicating information to the GP, but GPs' opinions on discharge communication are seldom sought. Patients are sometimes copied into this communication, but the reasons for this variation, and the resultant effects, remain unclear.

aimTo explore GP perspectives on how discharge letters can be improved in order to enhance patient outcomes. DESIGN &

settingThe study used narrative interviews with 26 GPs from 13 GP practices within the West Midlands, England.

methodInterviews were transcribed and data were analysed using corpus linguistics (CL) techniques.

resultsElements pivotal to a successful letter were: diagnosis, appropriate follow-up plan, medication changes and reasons, clinical summary, investigations and/or procedures and outcomes, and what information has been given to the patient. GPs supported patients receiving discharge letters and expounded a number of benefits of this practice; for example, increased patient autonomy. Nevertheless, GPs felt that if patients are to receive direct discharge letter copies, modifications such as use of lay language and avoidance of acronyms may be required to increase patient understanding.

conclusionGPs reported that discharge letters frequently lacked content items they assessed to be important; GPs highlighted that this can have subsequent ramifications on resources and patient experiences. Templates should be devised that put discharge letter elements assessed to be important by GPs to the forefront. Future research needs to consider other perspectives on letter content, particularly those of patients.

Indexed as

communicationcopy lettersdischarge summariesdoctor and patient communicationgeneral practitionershospital dischargepatient dischargeprimary care

Identifiers

PMID32398346
PMCPMC7330207

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.