全科医生将患者转介至饮食失调服务机构：为何差异如此之大？
GP referral to an eating disorder service: why the wide variation?
作者信息
Hugo P, Kendrick T, Reid F, Lacey H
机构信息
Department of General Psychiatry, St George's Hospital Medical School, London.
出版信息
Br J Gen Pract. 2000 May;50(454):380-3.
BACKGROUND
Early detection and management of patients with eating disorders is thought to improve prognosis, yet little is known about the factors associated with referral of these patients to treatment centres.
AIM
To calculate general practitioner (GP) referral rates to a specialist eating disorder service and determine the association between referral rate and general practice and practitioner factors.
METHOD
Referral rate was calculated from a database of routine referrals to St George's Hospital Eating Disorder Service from January 1990 to May 1996 and correlated with practice and practitioner details obtained from medical directories and health authority data.
RESULTS
There was a wide variation in referral rates. A higher referral rate was found to be associated with practice size, proximity to the clinic, female GPs, GPs having the MRCGP qualification, being United Kingdom qualified, and offering full contraceptive services. Fundholding was associated with lower rates of referral.
CONCLUSION
Patients with eating disorders may be at a disadvantage in certain practices. Educational interventions could be targeted towards low referrals.
背景
人们认为对饮食失调患者进行早期检测和管理可改善预后，但对于这些患者被转介至治疗中心的相关因素却知之甚少。
目的
计算全科医生（GP）向专业饮食失调服务机构的转介率，并确定转介率与全科医疗及从业者因素之间的关联。
方法
转介率是根据1990年1月至1996年5月向圣乔治医院饮食失调服务机构的常规转介数据库计算得出的，并与从医学名录和卫生当局数据中获取的诊所及从业者详细信息相关联。
结果
转介率存在很大差异。发现较高的转介率与诊所规模、与诊所的距离、女全科医生、拥有MRCGP资格的全科医生、在英国取得资格以及提供全面避孕服务有关。基金持有与较低的转介率相关。
结论
饮食失调患者在某些诊所可能处于不利地位。教育干预可针对低转介情况。
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