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比较培训师和学员的转诊率:对教育和资源分配的影响。

Comparing trainer and trainee referral rates: implications for education and allocation of resources.

作者信息

Rashid A, Jagger C

机构信息

Department of Community Health, University of Leicester.

出版信息

Br J Gen Pract. 1990 Feb;40(331):53-5.

PMID:2107850
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1371139/
Abstract

Referral rates and urgency of referral to hospital by six pairs of trainers and trainees were compared over one month in 1986. From 5846 consultations, 327 resulted in referral to hospital. Overall, the referral rates was low at 5.6 per 100 consultations; however, there was considerable variation in individual referral rates with trainees tending to follow their trainer's referral patterns, despite statistical adjustment for sharing the same practice. This paper critically examines the wisdom of using general practitioner referral rates for the purpose of resource allocation and education.

摘要

1986年,在一个月的时间里,对六对培训师和学员转诊至医院的比例及转诊紧迫性进行了比较。在5846次会诊中,有327次转诊至医院。总体而言,转诊率较低,为每100次会诊5.6例;然而,个体转诊率存在很大差异,尽管对共享同一诊所进行了统计调整,但学员往往遵循其培训师的转诊模式。本文批判性地审视了将全科医生转诊率用于资源分配和教育目的的合理性。

相似文献

1
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引用本文的文献

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Br J Gen Pract. 2000 Jan;50(450):37-9.
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What determines competence within a general practice consultation? Assessment of consultation skills using simulated surgeries.在全科医疗会诊中,是什么决定了能力?使用模拟诊疗来评估会诊技巧。
Br J Gen Pract. 1998 May;48(430):1259-62.
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The pattern of clinical advice sought by general practitioners from a medical consultant in clinical biochemistry.全科医生向临床生物化学医学顾问寻求临床建议的模式。
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本文引用的文献

1
Do general practitioners have different "referral thresholds"?全科医生有不同的“转诊阈值”吗?
Br Med J (Clin Res Ed). 1981 Mar 28;282(6269):1037-9. doi: 10.1136/bmj.282.6269.1037.
2
Wasting resources in referrals to hospital.
Lancet. 1984 Dec 22;2(8417-8418):1468-70.
3
Referral to hospital by general practitioners.全科医生转诊至医院。
J R Coll Gen Pract. 1971 Feb;21(103):77-85.
4
Referrals to hospitals in an East Midlands city--a medical audit.转诊至东米德兰兹郡一座城市的医院——一项医学审计。
J R Coll Gen Pract. 1974 May;24(142):304-14, 319.
5
Variation in general practitioners' referral rates to consultants.全科医生向专科医生转诊率的差异。
J R Coll Gen Pract. 1987 Aug;37(301):350-3.
6
Explaining variation in general practitioner referrals to hospital.解释全科医生转诊至医院的差异。
Fam Pract. 1987 Sep;4(3):160-9. doi: 10.1093/fampra/4.3.160.
7
Referrals to hospital by general practitioners: a study of compliance and communication.全科医生向医院的转诊:一项关于依从性和沟通的研究。
BMJ. 1988 Nov 12;297(6658):1246-8. doi: 10.1136/bmj.297.6658.1246.
8
Referral to hospital: can we do better?转诊至医院:我们能否做得更好?
BMJ. 1988 Aug 13;297(6646):461-4. doi: 10.1136/bmj.297.6646.461.