Chen Frederick M, Fryer George E, Norris Thomas E
Department of Family Medicine, University of Washington, 4311 11th Avenue NE, Ste. 210, Seattle, WA 98195, USA.
J Am Board Fam Pract. 2005 Nov-Dec;18(6):449-52. doi: 10.3122/jabfm.18.6.449.
To examine the effect of patient characteristics and comorbidity on referrals in primary care.
Cross-sectional analysis of patient encounters and referrals during a 1-year period for a primary care network of 9 clinics. The analysis adjusted for the clustering effect of physicians and clinics on the data.
23,720 specialty referrals were generated from 251,240 patient encounters, resulting in a total referral rate of 9.4 referrals per 100 encounters. Age, gender, and certain comorbid conditions were significant predictors of referral for any given encounter.
Patient characteristics and comorbidity are predictors of referral. Studies of primary care processes need to account for clustering of physicians and clinics in their research design.
探讨患者特征及合并症对基层医疗转诊的影响。
对9家诊所的基层医疗网络在1年期间的患者诊疗及转诊情况进行横断面分析。分析对医生和诊所在数据上的聚类效应进行了调整。
在251,240次患者诊疗中产生了23,720次专科转诊，总转诊率为每100次诊疗中有9.4次转诊。年龄、性别及某些合并症是任何一次特定诊疗转诊的显著预测因素。
患者特征及合并症是转诊的预测因素。基层医疗过程研究在其研究设计中需要考虑医生和诊所的聚类情况。
