Clarke M, Whitford D L, O'Reilly F
Department of Family Medicine and General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland.
Ir J Med Sci. 2007 Sep;176(3):221-4. doi: 10.1007/s11845-007-0062-6. Epub 2007 Jul 21.
The numbers of removals of patients from General Practitioner lists in Ireland is increasing and is a cause for some concern.
To examine the views of both general practitioners and patients toward removals of patients from general practitioner lists.
Questionnaire survey to general practitioners in North Inner City Dublin who had removed patients from their list over a 1-year period (n = 45) and to the patients they had removed (n = 86). Follow up semi structured interviews were carried out with five general practitioners and ten patients.
For doctors, the decision to remove a problematic patient from their list is generally a positive experience, providing relief and being associated with certainty in both the decision and the process. For the patient, being removed from a GP's list is a negative experience, stressful and confusing.
There is a need for the development of a clear responsive, transparent and supportive system for removing patients from a GP list.
爱尔兰从全科医生名单中移除患者的数量在增加，这引起了一些关注。
探讨全科医生和患者对从全科医生名单中移除患者的看法。
对都柏林市中心北部在1年期间从其名单中移除患者的全科医生（n = 45）及其移除的患者（n = 86）进行问卷调查。对五名全科医生和十名患者进行了后续半结构化访谈。
对于医生来说，从名单中移除有问题的患者的决定通常是一种积极的经历，能带来解脱感，并且在决策和过程中都伴随着确定性。对于患者来说，被从全科医生名单中移除是一种负面经历，会带来压力和困惑。
需要建立一个清晰、响应迅速、透明且支持性的系统，用于将患者从全科医生名单中移除。
