Massel D
The University of Western Ontario, London, Canada.
Can J Cardiol. 1999 Aug;15(8):879-83.
To determine whether there were differences in waiting time for a consultation for a nonurgent cardiology problem among specialists in an academic centre compared with those in community practice.
Cross-sectional telephone survey.
Southwestern Ontario.
Academically affiliated and community-based specialists in cardiology or internal medicine with an interest in cardiology.
Waiting period in weeks for outpatient consultation.
Among community specialists, those with cardiology training had significantly longer waiting times than those without for nonurgent cardiology consultation (median 8.6 versus 3.8 weeks, P=0.0077). Waiting times for consultation were significantly longer for academic specialists than for those in community practice (median 9.1 versus 4.1 weeks, P=0.0013). Significantly longer waiting times exist in communities with a population greater than 100,000 (median 9.1 versus 4.0 weeks, P=0.0005).
Waiting times for consultation for a nonurgent cardiology problem are long. Waiting times are longer for physicians with certification in cardiology, in the academic medical centre and in larger communities.
确定学术中心的专科医生与社区诊所的专科医生相比，在处理非紧急心脏病问题时的会诊等待时间是否存在差异。
横断面电话调查。
安大略省西南部。
隶属于学术机构和社区的心脏病学或内科专科医生，且对心脏病学有所关注。
门诊会诊的等待周数。
在社区专科医生中，接受过心脏病学培训的医生在处理非紧急心脏病会诊时的等待时间显著长于未接受过培训的医生（中位数分别为8.6周和3.8周，P = 0.0077）。学术专科医生的会诊等待时间显著长于社区诊所的专科医生（中位数分别为9.1周和4.1周，P = 0.0013）。在人口超过10万的社区，等待时间显著更长（中位数分别为9.1周和4.0周，P = 0.0005）。
非紧急心脏病问题的会诊等待时间很长。在心脏病学领域有认证的医生、在学术医疗中心以及在较大社区工作的医生等待时间更长。
