Watson E, Austoker J, Lucassen A
CRC Primary Care Education Research Group, Department of Primary Health Care, University of Oxford, Institute of Health Sciences, Oxford OX3 7LF, UK.
Fam Pract. 2001 Apr;18(2):131-4. doi: 10.1093/fampra/18.2.131.
The aim of this study was to investigate the appropriateness of primary care referrals to the Oxford Regional Genetics Service on account of a family history of breast and/or ovarian cancer and to explore GPs' expectations following a referral.
Fifty consecutive GP referrers were sent a questionnaire post-referral, and their referral letters were reviewed.
The study achieved a high response rate (94%) and showed that many GPs did not know which patients warrant referral to the genetics service and that they had unrealistic expectations of what happens at the clinic.
If GPs are to fulfil their gatekeeper role effectively, and possibly become more involved in the delivery of genetic services in the future, it is clear that they require further education in this area.
本研究旨在调查因乳腺癌和/或卵巢癌家族史而转诊至牛津地区遗传学服务中心进行初级保健的适宜性，并探讨全科医生转诊后的期望。
连续50位全科医生转诊者在转诊后收到一份问卷，并对他们的转诊信进行了审查。
该研究获得了较高的回复率（94%），表明许多全科医生不知道哪些患者需要转诊至遗传学服务中心，并且他们对诊所的情况抱有不切实际的期望。
如果全科医生要有效地履行其把关人的职责，并有可能在未来更多地参与基因服务的提供，显然他们需要在这一领域接受进一步的教育。
