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1
Rheumatic disease, the family physician, and the consultants: when to hold them and when to fold them.风湿性疾病、家庭医生和顾问:何时该坚持,何时该放弃。
Can Fam Physician. 1990 Mar;36:523-6.
2
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8
The consultation and referral process. A report from NEON. Northeastern Ohio Network Research Group.会诊与转诊流程。东北俄亥俄网络研究小组(NEON)的一份报告。
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本文引用的文献

1
Reassurance does not always help.安慰并不总是有用的。
Can Fam Physician. 1989 May;35:1161-3.
2
Community rheumatology practice in Thunder Bay: a Canadian experience from northwestern Ontario.
J Rheumatol. 1981 Jan-Feb;8(1):119-24.
3
Exemplary family physicians and consultants: empirical definition of contemporary medical practice.杰出的家庭医生和会诊医生:当代医疗实践的实证定义。
CMAJ. 1989 Aug 15;141(4):301-7.
4
The arthritic complaint in primary care: prevalence, related disability, and costs.基层医疗中的关节炎问题:患病率、相关残疾情况及费用
J Rheumatol. 1976 Mar;3(1):88-99.

风湿性疾病、家庭医生和顾问:何时该坚持,何时该放弃。

Rheumatic disease, the family physician, and the consultants: when to hold them and when to fold them.

出版信息

Can Fam Physician. 1990 Mar;36:523-6.

PMID:21234070
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2280663/
Abstract

The principles of when to refer in rheumatologic disorders vary little from the general pattern, but some disease-specific advice is helpful. Follow the age-old tenets of referring if diagnosis is uncertain, if treatment advice is needed, or if you are unable to meet the many needs of patients with chronic illnesses. It is often valuable to ask why the patient wants a referral. Education, referral to allied health professionals, and assessing how well you are supporting the patient are all important. It is also essential to maintain contact with both patient and consultant if referral is necessary.

摘要

在风湿性疾病中,何时转诊的原则与一般模式相差不大,但一些针对特定疾病的建议是有帮助的。如果诊断不确定、需要治疗建议,或者无法满足慢性疾病患者的众多需求,就应遵循古老的转诊原则。询问患者希望转诊的原因通常是有价值的。教育、向相关健康专业人员转诊以及评估您对患者的支持程度都很重要。如果需要转诊,还必须与患者和顾问保持联系。