Author Affiliations: Department of Pediatrics, University of Colorado, Aurora (Dr Stille); and Departments of Medicine and Pediatrics, University of North Carolina School of Medicine, Chapel Hill (Dr Primack).
We note with interest the study by O’Malley and Reschovsky,1 which corroborates significant gaps in communication we observed a decade ago in a survey of New England pediatricians.2 Sadly, despite increased focus on interspecialty communication and the Medical Home over the past 10 years, inadequate communication between physicians persists. The authors correctly emphasize the system differences between primary care and specialty practices that contribute to a lower rate of communication from primary care physicians (PCPs) to specialists than from specialists back to the PCP. They attribute this in part to time constraints and demonstrate better communication in practices with care management supports and, for subspecialists, use of an electronic medical record (EMR).
Stille CJ, Primack WA. Interspecialty Communication: Old Problem, New Hope?. Arch Intern Med. 2011;171(14):1300. doi:10.1001/archinternmed.2011.326