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Biomedical subjects

Peter Qvist

Publications and source records attributed to Peter Qvist.

5 recordsLinked to original sources
PubMed2002

[The Good Medical Department. The quality of patient information at the departments of internal medicine].

INTRODUCTION: The purpose of this study was to identify the factors that influence the quality of information given in medical departments and to examine the efforts made to ensure the quality and further improvement of this information. The study is part of the research project "The Good Medical Department". MATERIAL AND METHODS: A total of 73 semi-structured interviews were carried out with patients, doctors, nurses and departmental managements. The medical records and nursing case notes were analysed. RESULTS: The quality of information given correlates with the staff's knowledge of the period of hospitalization of their patients. Contact with various doctors and nurses results in patients perceiving statements as being divergent. Information is best communicated in a dialogue. The patients want detailed and written information. Documentation of given information in the medical records was scanty. DISCUSSION: The outcome of this study indicates some areas that can contribute to ensuring the quality and improvement of patient information. Recent studies also describe lack of quality in these areas. It is a question of restructured planning, delegation of responsibility, documentation, written patient information, and training in communication skills.

Communication↗
PubMed2002

[Selection of patients referred to gastroscopy from general practice].

INTRODUCTION: The aim of this study was to investigate whether guidelines for selecting dyspeptic patients for early endoscopy are appropriate and whether referrals from general practitioners give all necessary information. MATERIALS AND METHODS: We carried out a prospective study of consecutive referrals from general practitioners. The patients were referred by general practitioners to the Department of Medical Gastroenterology, Aalborg Hospital, during the period 1 February 1999 to 31 December 1999. The referrals for endoscopy were examined for information about the duration of symptoms, alarm symptoms (anaemia, dysphagia, vomiting, and weight loss), usage of ASA/NSAID, and medical treatment with acid-suppressants. At endoscopy, similar information was recorded on a standardised form for comparison. RESULTS: Two hundred and ninety-nine patients, 150 men and 149 women, were entered in the study. The medium age was 51.3 years (17-95). Ninety-six (32%) patients had organic dyspepsia (ulcer, oesophagitis, cancer). Of 192 (46%) patients selected for early gastroscopy, 88 (46%) were assigned to early examination solely because of age > 45 years, and 21 (11%) solely because of alarm symptoms. All the patients with information about ASA/NSAID medication were older than 45 years. The diagnosis of cancer and ulcer was significantly more often found in the group of patients selected for early gastroscopy 31/192, as compared with the waiting list patients 9/107 (p = 0.004). DISCUSSION: The guidelines for distribution to early and waiting list endoscopy proved to be well suited for priority selection of patients with the highest risk of organic dyspepsia.

Adolescent↗