在癌症治疗决策中，信息对于患者和医疗保健专业人员至关重要。尽管有关治疗决策的讨论是在医院进行的，但许多患者也欣赏全科医生 (GP) 的见解。全科医生表示，为了与患者就治疗决策进行有意义的对话，他们需要有关治疗选择和注意事项的更多信息，例如预期的益处和副作用。在这一实践创新中，我们开发并实施了一种新的从医学专家到全科医生的书面沟通格式，旨在提供准确的治疗信息，以方便全科医生支持癌症患者的决策。新格式在电子患者档案 (EPF) 的标准字母中添加了 3 个特定标题：(1) 治疗选项，(2) 治疗注意事项，以及 (3) 治疗意图。这项创新于 2020 年至 2021 年间在[地点]的一家大型大学医院实施。我们根据从患者 EPF 获得的书面沟通以及与专家的电话访谈的评估，使用 RE-AIM 模型对实施进行了过程评估和全科医生。在[LOCATION]，所有居民都在全科医生处登记，全科医生充当专科护理的看门人，并根据转诊专科护理后与医院的数字通信全面了解患者的病史。 EPF 用于生成数字信件，以便在医院的医疗专家和医院外的全科医生之间进行通信。在 EPF 的通讯格式中纳入新标题，成功地鼓励医学专家在适当使用时分享此类信息。与旧格式相比，新格式更频繁地陈述治疗选择、注意事项和治疗意图。全科医生对新格式表示赞赏，强调了纳入治疗考虑因素的价值，这增强了他们对医学专家思维过程的理解。对问题的认识和改进的动力促进了实施。专家表示，与旧格式相比，该格式更加省时；然而，技术改进可以使其更易于使用。自动使用旧格式、信息不足和技术问题是实施的障碍。总之，简单的创新可以改善医学专家和全科医生之间的沟通，并提升全科医生在癌症治疗决策中的作用。版权所有 © 2024 作者。由爱思唯尔公司出版。保留所有权利。

In decision making for cancer treatment, information is crucial for patients and health care professionals. Although conversations about treatment decisions take place in hospitals, many patients also appreciate the insights of their general practitioner (GP). GPs indicated that, in order to have meaningful conversations about treatment decisions with their patients, they need additional information about treatment options and considerations, such as expected benefits and side effects. In this practice innovation, we developed and implemented a new written communication format from medical specialists to GPs, aimed at providing accurate treatment information to facilitate GPs in supporting patients with cancer in decision-making. The new format added 3 specific headings to standard letters in the electronic patient files (EPFs): (1) treatment options, (2) treatment considerations, and (3) treatment intent. This innovation was implemented in a large university hospital in [LOCATION] between 2020 and 2021. We performed a process evaluation of the implementation using the RE-AIM model, based on assessment of written communication obtained from patients' EPFs, and telephonic interviews with specialists and GPs. In [LOCATION], all inhabitants are registered with a GP, who acts as a gatekeeper to specialist care, and has a comprehensive overview of a patient's history, based on digital communication with hospitals after referral for specialist care. EPFs are used to generate digital letters to communicate between medical specialists in a hospital and GPs outside the hospital. Incorporating new headings in the communication format in the EPF successfully encouraged medical specialists to share such information when used appropriately. Treatment options, considerations, and treatment intent were stated more often in the new format compared with the old format. GPs appreciated the new format, highlighting the value of including treatment considerations, which enhanced their comprehension of the medical specialist's thought processes. Recognition of the problem and motivation for improvement facilitated the implementation. Specialists stated the format to be time-efficient compared with the old format; however, technical improvements could make it easier to use. Automaticity to use of the old format, inadequate information, and technical issues were a barrier for implementation. In summary, a straightforward innovation can improve communication between medical specialists and GPs and promote the role of the GPs in decision making for cancer treatment.Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.