RT Journal Article
SR Electronic
T1 Enhancing continuity of information
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 624
OP 625.e5
VO 55
IS 6
A1 Berta, Whitney
A1 Barnsley, Jan
A1 Bloom, Jeff
A1 Cockerill, Rhonda
A1 Davis, Dave
A1 Jaakkimainen, Liisa
A1 Mior, Anne Marie
A1 Talbot, Yves
A1 Vayda, Eugene
YR 2009
UL http://www.cfp.ca/content/55/6/624.abstract
AB OBJECTIVE To identify elements of data that have been shown to contribute to continuity of information between primary care providers and medical specialists providing care to adult asthma patients. DESIGN Systematic review of the literature followed by a 2-round modified Delphi consensus process. SETTING Province of Ontario. PARTICIPANTS Eight expert panelists, including 3 practising family physicians, a medical specialist knowledgeable in the treatment of asthma, a family physician previously involved in provincial initiatives related to primary care reform, an e-health technologist, a developer of evidence-based guidelines, and an operations and programs specialist. METHODS We completed a systematic literature review to identify important components of consultation reports. We then engaged an 8-member panel in a 2-round modified Delphi consensus process, which led to the identification of components deemed essential to good continuity of information. MAIN FINDINGS After 2 rounds, expert panelists reached consensus on 15 components, referred to here as minimum essential elements, of consultation reports generated by medical specialists in response to referring primary care providers’ consultation requests. CONCLUSION The expert panelists considered inclusion of the minimum essential elements in consultation reports essential to achieving good continuity of information. We assembled these elements in a suggested format for a consultation report. The format can be easily modified by practitioners caring for patients with other chronic diseases.