Samanta A, Haider Y, Roffe C
Department of Clinical Pharmacology and Therapeutics, Leicester Royal Infirmary.
J R Coll Physicians Lond. 1991 Jan;25(1):33-5.
Of the 418 consecutive patients attending a general medical clinic for follow-up, 113 (27%) had appointments in another medical clinic for the same or a related problem; 98 of them (87%) were attending a clinic in a different hospital. The reasons for multiple clinic attendance were routine follow-up after hospital admission in 55 (49%), referrals from general practitioners to more than one clinic in 33 (30%), and cross-referrals from the 'parent' medical firm in 19 (17%). In six patients no clear reason for multiple attendances could be identified. More than half (55%) were over 65 years old, 45% lived more than five miles from the hospital, and 78% depended on ambulance, friends, or relatives for transport. We suggest that follow-up attendances at outpatient clinics should be stringently reviewed and should only be maintained if a clear reason can be identified. This would not only ensure a more effective service overall but would also save patients and relatives from inconvenience.
在一家综合内科诊所接受随访的418例连续患者中，113例（27%）因相同或相关问题在另一家内科诊所预约就诊；其中98例（87%）在不同医院的诊所就诊。多次就诊的原因包括住院后的常规随访55例（49%）、全科医生转诊至多个诊所33例（30%）以及来自“上级”医疗公司的交叉转诊19例（17%）。6例患者无法明确多次就诊的原因。超过一半（55%）的患者年龄在65岁以上，45%的患者居住在距离医院超过5英里的地方，78%的患者依靠救护车、朋友或亲属接送。我们建议应严格审查门诊随访就诊情况，只有在能明确原因时才应继续安排。这不仅能确保整体服务更有效，还能避免给患者及其亲属带来不便。
