de Prado Prieto L, García Olmos L, Rodríguez Salvanés F, Otero Puime A
Centro de Salud Goya 2, Area 2, Madrid, Spain.
Aten Primaria. 2005 Feb 28;35(3):146-51. doi: 10.1157/13071940.
To study the process of referral from primary care in a health area in Madrid. The second objective was to evaluate the trends in the referral process.
Observational, descriptive and cross-sectional study.
Three urban health centers in the Area 2.
All referrals made by 13 doctors during 3 consecutive weeks. The total number of visits attended were 6012. The study was realized between February 2002 and January 2003.
Patient, doctor and referral characteristics on every referral.
349 referrals were studied. The rate of referral 5.8% (5.21-6.39). The referred patients, 65.5% women, medium age 50.6+/-21. The specialties that received more referrals are gynecologist, ophthalmology, dermatology, otorhinolaryngology, rehabilitation, orthopedic surgeon and general surgeon. The most common conditions referred, 25.6% of all referrals, are gynecologist check, blindness, other illnesses of subcutaneous cellular tissue, arthrosis, joint pain, diabetes, benign neoplasm of skin, depression and hypoacusis. 92.3% of the referrals were sent to the specialist center. 89.7% were normal (no urgent). The reason for referral was to accede to the patient's request in 18.3% of the referrals.
The process of referral is similar to previous studies. Although people are more participative, have more information and the defensive medicine is increasing, the process of referral have not changed.
研究马德里一个健康区域内基层医疗的转诊过程。第二个目的是评估转诊过程的趋势。
观察性、描述性横断面研究。
第2区的三个城市健康中心。
13名医生在连续3周内进行的所有转诊。就诊总数为6012次。研究于2002年2月至2003年1月期间进行。
每次转诊的患者、医生和转诊特征。
研究了349例转诊。转诊率为5.8%（5.21 - 6.39）。转诊患者中，女性占65.5%，平均年龄50.6±21岁。接收转诊较多的专科是妇科、眼科、皮肤科、耳鼻喉科、康复科、骨科医生和普通外科医生。转诊最常见的病症，占所有转诊的25.6%，是妇科检查、失明、皮下蜂窝组织的其他疾病、关节炎、关节疼痛、糖尿病、皮肤良性肿瘤、抑郁症和听力减退。92.3%的转诊被送往专科中心。89.7%为正常（非紧急）。转诊原因是应患者要求的占18.3%。
转诊过程与先前研究相似。尽管人们更具参与性、信息更多且防御性医疗在增加，但转诊过程并未改变。
