• Bérengère Etesse, Samir Jaber, Thibault Mura, Marc Leone, Jean-Michel Constantin, Pierre Michelet, Lana Zoric, Xavier Capdevila, François Malavielle, Bernard Allaouchiche, Jean-Christophe Orban, Pascale Fabbro-Peray, Jean-Yves Lefrant, and AzuRéa Group.
• Division Anesthésie Réanimation Douleur Urgences, Groupe Hospitalo-Universitaire Caremeau, Centre Hospitalier Universitaire Nîmes, Place du Professeur Robert Debré, 30029 Nîmes Cedex 9, France. berengere.etesse@chu-nimes.fr
• Crit Care. 2010 Jan 1; 14 (3): R112.

IntroductionThe present study assessed the opinion of general practitioners (GPs) concerning their relationships with intensivists.MethodsAn anonymous questionnaire was mailed to 7,239 GPs. GPs were asked about their professional activities, postgraduate intensive care unit (ICU) training, the rate of patient admittance to ICUs, and their relationships with intensivists. Relationship assessment was performed by using a graduated visual analogue scale (VAS) ranging from 0 (dissatisfaction) to 100 (satisfaction). A multivariate analysis with stepwise logistic regression was performed to isolate factors explaining dissatisfaction (VAS score, < 25th percentile).ResultsTwenty-two percent of the GPs (1,561) responded. The median satisfaction score was 57 of 100 (interquartile (IQ), 35 to 77]. Five independent factors of dissatisfaction were identified: no information provided to GPs at patient admission (odds ratio (OR) = 2.55 (1.71 to 3.80)); poor quality of family reception in the ICU (OR = 2.06 (1.40 to 3.02)); the ICU's family contact person's identity or function or both is unclear (OR = 1.48 (1.03 to 2.12)), lack of family information (OR = 2.02 (2.48 to 2.75)), and lack of discharge report (OR = 3.39 (1.70 to 6.76)). Three independent factors prevent dissatisfaction: age of GPs ConclusionsConsiderable improvement in GP/intensivist relationships can be achieved through increased communication measures.

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