Summary:
Background. The understanding of different management strategies in primary and secondary care is important for
cooperation between specialists and general practitioners in clinical practice. The Institut of General Practice at First
Faculty of Medicine carried out a survey for gastroenterologists concerning their opinions on general practitioners
and their current knowledge, competence and management of GI disorders as a contribution to interdisciplinary
communication.
Methods and Results. Questionnaires were sent to 552 gastroenterologists in the country. There was a response rate
of 31% without any reminder. 170 questionnaires were included in a study. The most of gastroenterologists (92 %)
support practical guidelines development. There is an insufficient confidence that these guidelines are implemented
in practice. Four from five gastroenterologists consider knowledge of their colleagues GPs in gastroenterology as average.
In particular cases (irritable bowel syndrome, step up and step down approach) are specialists rather sceptic.
There is a low support for the increase of GP competence in gastroenterology, as for urea breath test availibility, particularly
in private gastroenterologists (p=0,04).
Conclusions. Results of the survey could facilitate the interdisciplinary communication in gastroenterology, contribute
to CME programs development and may serve as an example for other specialities.
Key words:
general practitioner, primary care, secondary care, gastroenterology, interdiciplinary cooperation,
communication.
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