Zoitopoulos L, Jenner A M
Br Dent J. 1991 Jan 5;170(1):4-5. doi: 10.1038/sj.bdj.4807400.
The Community Dental Service has been encouraged to refer regular attending patients to General Dental Practice whilst maintaining a monitoring system to ensure that referred patients do not 'fall through the net'. The referral and monitoring system run by Halton Health Authority for one year is described. During this period 112 motivated patients were identified as being suitable for referral to general practice. Of these, 85 agreed to referral and 27 refused. Of those referred, 69 subsequently attended but 16 failed to attend and 14 of these did not respond to a further recall by the CDS. Far from acting as a safety net service the CDS may, in pursuing this referral policy, be actually increasing the number of irregular attenders in some localities and for this reason Halton is reviewing the speed with which the referral policy is being implemented.
社区牙科服务机构被鼓励将定期就诊的患者转介至普通牙科诊所，同时维持一个监测系统，以确保被转介的患者不会“脱管”。本文描述了由哈尔顿卫生局运行一年的转介和监测系统。在此期间，112名有积极性的患者被确定适合转介至普通牙科诊所。其中，85人同意转介，27人拒绝。在被转介的患者中，69人随后就诊，但16人未就诊，其中14人未回应社区牙科服务机构的再次召回。社区牙科服务机构在推行这项转介政策时，非但没有起到安全网服务的作用，实际上可能还在某些地区增加了不定期就诊者的数量，因此哈尔顿正在审查转介政策的实施速度。
