Dasan S, Hashemi K
Accident and Emergency Department, Mayday University Hospital, Croydon, Surrey, UK.
Emerg Med J. 2003 Jan;20(1):44-7. doi: 10.1136/emj.20.1.44.
Selected patients attending accident and emergency (A&E) are seen again in the A&E review clinic for planned follow up. Despite the large number of patients being seen in these clinics, this area of A&E service provision has rarely been studied. The aim of this study was to determine the current provision of review clinic services in UK A&E departments, their organisation, and their perceived role in current practice.
Postal survey of all major UK adult and paediatric A&E units.
Almost all major UK A&E departments have a review clinic service and almost three quarters see less than 10% as reviews in line with current guidance. Many departments feel their clinics are well run and fulfil their objectives. Others are under pressure from external sources to see more patients. Over a third of departments have no written policies or protocols guiding referral to these clinics.
Review clinics are an important part of the A&E service in the UK and minimum standards need to be set in the provision of these services. Further audit and research needs to be carried out on the review clinic service to guide its future development.
选定的急症室就诊患者会在急症室复诊门诊接受计划中的随访。尽管这些门诊接待的患者数量众多，但急症室服务的这一领域很少被研究。本研究的目的是确定英国急症室目前复诊门诊服务的提供情况、其组织形式以及它们在当前实践中所扮演的角色。
对英国所有主要的成人及儿科急症室进行邮寄调查。
几乎所有英国主要的急症室都设有复诊门诊服务，并且几乎四分之三的门诊按照当前指南将不到10%的患者视为复诊患者。许多科室认为他们的门诊运作良好并实现了目标。其他科室则面临外部压力，需要接待更多患者。超过三分之一的科室没有指导转诊至这些门诊的书面政策或规程。
复诊门诊是英国急症室服务的重要组成部分，在提供这些服务时需要设定最低标准。需要对复诊门诊服务进行进一步的审核和研究，以指导其未来发展。
