Analyses of Described Situation of Patient Referral Documents and Their Compliance with the Designated FormFocusing on Preparation Means, Number of Characters, and Scale for Medical Facilities

ISHIZAKI Jun, YOSHIOKA Masaaki, NISHIMURA Haruhiko

doi:10.2964/jsik_2021_051

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診療情報提供書記載の様式準拠性に関する現状分析～記載手段・文字数・紹介元医療機関規模に着目して～
シンリョウジョウホウテイキョウショキサイノヨウシキジュンキョセイニカンスルゲンジョウブンセキ : キサイシュダン・モジスウ・ショウカイモトイリョウキカンキボニチャクモクシテ

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Abstract

<p>　In response to the rise in the number of elderly persons, Japan’s Ministry of Health, Labour and Welfare is promoting the enhancement of community-based integrated care systems and the concept of regional medical care. In order to do this effectively, it will be important to share information among primary doctors, acute care hospitals, community-based integrated support centers, and other facilities. A main existing method of providing information between medical facilities is through the use of patient referral document (designated as Form 11). However, most of those are written as a series of sentences in free format and it remains transient means of communication only on referring a patient. At this stage, we need to grasp the present described situation of patient referral documents toward the digitalization of Form 11 to share information among the related facilities for secondary applications other than referrals. In this paper, we closely review the contents of 1,000 patient referral documents provided to a regional medical support hospital (Hospital S) from nearby medical facilities and analyze their compliance with the basic items of the designated Form 11 from the aspects of preparation means (handwriting or typing), number of characters, and scale for medical facilities. </p>

Journal

Joho Chishiki Gakkaishi

Joho Chishiki Gakkaishi 31 (3), 395-410, 2021-09-30

Japan Society of Information and Knowledge

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