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候诊名单信息对全科医生转诊模式的影响。

Effect of information about waiting lists on referral patterns of general practitioners.

作者信息

French J A, Stevenson C H, Eglinton J, Bailey J E

机构信息

West Midlands Regional Health Authority.

出版信息

Br J Gen Pract. 1990 May;40(334):186-9.

PMID:2114133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1371275/
Abstract

In a two year trial general practitioners in the West Midlands were provided with extended waiting time information for hospital consultation and treatment in general surgery. Selected general practitioners were sent monthly bulletins on comparative times to wait for both outpatient appointment and inpatient treatment throughout the region. Their referrals to consultant general surgeons were monitored, alongside those of a matched control group not receiving such information. Differences were found between the two groups which indicate the willingness of general practitioners to change their referral practice when adequate information is available. In addition, patients referred to their local hospital had longer waiting times than patients matched for clinical condition and district of origin who were sent to hospitals where it was indicated that a shorter wait might be expected.

摘要

在一项为期两年的试验中,西米德兰兹郡的全科医生获得了有关普通外科住院咨询和治疗的延长等待时间信息。选定的全科医生每月收到关于整个地区门诊预约和住院治疗等待时间比较的简报。对他们转介给普通外科顾问医生的情况进行了监测,同时也监测了一个未收到此类信息的匹配对照组的情况。两组之间存在差异,这表明当有足够信息时,全科医生愿意改变他们的转介做法。此外,转诊到当地医院的患者等待时间比那些临床状况和原籍地区相匹配、被转诊到预计等待时间较短的医院的患者更长。

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本文引用的文献

1
General practitioner referrals to hospital: the financial implications of variability.全科医生向医院的转诊:变异性的财务影响。
Health Trends. 1988 May;20(2):53-6.
2
The public speaks out on the NHS.公众就国民保健制度发声。
Health Serv J. 1988 May 19;98(5101):556-7.
3
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.
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.