作者: Karin Leder , Olivier Bouchaud , Lin H. Chen
DOI: 10.1111/JTM.12240
关键词: Visiting friends and relatives 、 Postal survey 、 Family medicine 、 Nursing 、 Cultural competence 、 Medicine 、 MEDLINE 、 Travel medicine 、 Health knowledge 、 Continuity of care 、 Service (business)
摘要: Two papers from colleagues in this issue of the Journal Travel Medicine explore areas for improvement provision travel medicine advice. Morgan and report on a cross-sectional analysis more than 108,000 general practitioner (GP) trainee consultations Australia,1 while Heywood analyzed postal survey GPs Sydney, Australia, with respect to their knowledge, attitudes, practices regarding travelers visiting friends relatives (VFR).2 The study by sheds light how is managed GP setting describing rate nature patient visits related medicine. “Travel-related consultations” included both pre- post-travel encounters, but majority was former, involving immunization, medication, advice/education, or health checks prior overseas travel. Such occurred at 1.1 per 100 consultations, accounting 0.68% all problems (sole problem consultation 32%). They were often younger, inexperienced trainees, also involved new patients (57%), thereby suggesting lack appreciation importance comprehensive overview patient's status continuity care when providing pre-travel advice. Travel significantly longer other visits, mean only 2 minutes. Additionally, trainees frequently sought in-consultation information travel-related (35%) seeing (14%), nearly two-thirds cases no external resource accessed. These findings suggest that time required potential complexities adequate advice are under-appreciated. In sum, paper suggests due insufficient teaching medical, nursing, relevant allied undergraduate courses, those … Corresponding Author: Karin Leder, FRACP, PhD, Victorian Infectious Diseases Service, Royal Melbourne Hospital Doherty Institute Infection Immunity, Grattan Street, Parkville 3050, Australia. E-mail: karin.leder{at}monash.edu