You'd think this is standard procedure, but it doesn't happen as often as it should.

The flip side is no better: "81% of specialists said that of course, they always or usually send consult results back to the referring primary-care doctor, but only 62% of those doctors said they got that info."
The lack of communication has the potential to affect patient care. It's important that a specialist know what had been done prior, lest duplicate tests are ordered. And I need to know what happened to my patient after he sees another doctor.
I found that specialists who still dictated their notes had the longest reply time. That only makes sense, since the added transcription step takes time. The solution, obviously, is better incorporation of health IT. I should be able to log into a patient's chart and see both my note and the specialist's note side by side. That's the way it works in the VA, which has a single, unified electronic health record system.
But the way we're doing it, with fragmented systems that don't talk to one another, is only marginally better than the old way of dictating a note, waiting for a transcription, then faxing it.
I anticipate the consolidation of practices, facilitated by health reform and impending accountable care organizations, to help as health IT systems are also amalgamated.
But that vision is pretty far away. Until then, primary care doctors and specialists need to make a concerted effort to communicate their office visits in a more timely manner.
