作为斑贴试验诊所转诊来源的初级和二级医疗保健审计。
Audit of primary and secondary care as a source of patch test clinic referrals.
作者信息
Lamb S R, Wilkinson S M
机构信息
Contact Dermatitis Unit, Department of Dermatology, Leeds General Infirmary, Leeds LS1 3EX, U.K.
出版信息
Br J Dermatol. 2004 Dec;151(6):1258-60. doi: 10.1111/j.1365-2133.2004.06224.x.
BACKGROUND
Referral for patch testing is important in managing patients with eczema/dermatitis. These referrals come from many different sources.
OBJECTIVES
To assess the appropriateness of referrals from general practitioners (GPs) to a dedicated patch test clinic.
METHODS
Referral sources were recorded for patch testing in a dedicated contact dermatitis unit for a 4-month period between November 2002 and February 2003.
RESULTS
Of 217 referrals reviewed, 45 (21%) were received from GPs. There was no significant difference in the percentages of positive patch test results and of relevant positive patch test results obtained from GP referrals compared with those received from other sources, including dermatology departmental referrals.
CONCLUSIONS
Referrals from GPs, if selected appropriately, can be seen directly in the patch test clinic without prior assessment in a general dermatology clinic.
背景
对于湿疹/皮炎患者的管理，转诊进行斑贴试验很重要。这些转诊来自许多不同的来源。
目的
评估全科医生（GP）转诊至专门的斑贴试验诊所的适宜性。
方法
记录了2002年11月至2003年2月期间在一个专门的接触性皮炎科室进行斑贴试验的转诊来源，为期4个月。
结果
在审查的217例转诊病例中，45例（21%）来自全科医生。与包括皮肤科转诊在内的其他来源相比，全科医生转诊病例的斑贴试验阳性结果百分比和相关阳性斑贴试验结果百分比没有显著差异。
结论
如果选择得当，全科医生转诊的患者可以直接在斑贴试验诊所就诊，无需先在普通皮肤科诊所进行评估。
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