Tuomisto Leena, Erhola Marina, Kaila Minna, Brander Pirkko E, Puolijoki Hannu, Kauppinen Ritva, Koskela Kaj
Central Hospital, Huhtalantie 53, 60220 Seinäjoki, Finland.
Prim Care Respir J. 2004 Dec;13(4):205-10. doi: 10.1016/j.pcrj.2004.04.001.
The purpose of the present study was to define quality criteria for an asthma referral letter using a national co-operative effort between general practitioners and pulmonologists.
A consensus-seeking expert panel representing primary and secondary health care merged evidence from the literature and existing national and local asthma programmes to produce 19 provisional criteria to be included in an asthma referral letter. These criteria were contained within a national questionnaire review which was sent out to groups of Finnish physicians. The target groups for the review were all chief pulmonologists in specialist care (n = 32), and representatives of all Finnish health centres (n = 283) - either the chief physician (n = 143) or the local asthma co-ordinating physician (n = 140).
The overall response rate to the national questionnaire study was 75%. The three groups of responding physicians had very similar gradings on the necessity of the 19 provisional criteria, most of which were considered very necessary. 14 final disease-specific criteria for an asthma referral letter were derived as a result of this study.
The main result of this study is an agreed data set of essential information that needs to be included in an asthma referral letter. Importantly these criteria were developed by general practitioners and pulmonologists together.
本研究的目的是通过全科医生和肺科医生之间的全国性合作，确定哮喘转诊信的质量标准。
一个代表初级和二级医疗保健的寻求共识的专家小组整合了文献以及现有的国家和地方哮喘项目中的证据，制定了19条暂定标准，以纳入哮喘转诊信中。这些标准包含在一份全国性问卷评审中，该问卷被发送给芬兰的几组医生。评审的目标群体是专科护理领域的所有首席肺科医生（n = 32）以及芬兰所有健康中心的代表（n = 283）——要么是首席医生（n = 143），要么是当地哮喘协调医生（n = 140）。
全国性问卷研究的总体回复率为75%。三组回复医生对19条暂定标准的必要性评分非常相似，其中大多数被认为非常必要。本研究得出了14条哮喘转诊信的最终疾病特异性标准。
本研究的主要成果是一套商定的基本信息数据集，这些信息需要包含在哮喘转诊信中。重要的是，这些标准是由全科医生和肺科医生共同制定的。
