Baker R
Department of Epidemiology and Public Health Medicine, University of Bristol, BS8 2PR.
Health Trends. 1990;22(2):53-5.
The Government proposes that Family Health Services Authorities should monitor general practitioner referral rates, although the information available to them might be inadequate for the task. This study was undertaken to assess the difficulties Family Health Services Authorities could face when monitoring referrals using rates related to doctors' list size. This paper describes an investigation into this problem which analysed all outpatient referrals from one general practice from 1984 to 1988. Referral rates showed important variations between calendar quarter recording periods, and rates based on list size were inaccurate compared with those based on consultations. Proportions of obstetric, gynaecological and private referrals varied widely between the doctors. These findings suggest that monitoring of referral rates by Family Health Services Authorities will be relatively crude, and can only be improved by the full cooperation of general practitioners.
政府提议家庭健康服务机构应监测全科医生的转诊率，尽管它们可获取的信息可能不足以完成这项任务。本研究旨在评估家庭健康服务机构在使用与医生名单规模相关的比率监测转诊时可能面临的困难。本文描述了对这一问题的调查，该调查分析了1984年至1988年一家全科诊所的所有门诊转诊情况。转诊率在不同的日历季度记录期之间显示出重要差异，与基于会诊次数的比率相比，基于名单规模的比率并不准确。产科、妇科和私人转诊的比例在医生之间差异很大。这些发现表明，家庭健康服务机构对转诊率的监测将相对粗略，只有在全科医生的充分合作下才能得到改善。
