Fearn Simon, Larner Andrew J
General Practitioner, Watledge Surgery, Tewkesbury, Gloucestershire, UK.
Ment Health Fam Med. 2009 Sep;6(3):129-32.
The proportion of patients referred from primary care to dedicated dementia clinics who receive a final diagnosis of dementia is low. Many of these non-demented patients may have depressive disorders, since depression is the most common differential diagnosis of dementia. The UK general practitioner (GP) General Medical Services contract, introduced in April 2006, included a Quality and Outcomes Framework (QOF) with indicators related to depression. We investigated whether introduction of the QOF Depression Indicators changed the pattern of referrals from primary care to a dedicated dementia clinic. The results indicated that the null hypothesis could not be rejected.
从初级保健机构转诊至专门痴呆症诊所并最终被诊断为痴呆症的患者比例较低。这些未患痴呆症的患者中许多人可能患有抑郁症，因为抑郁症是痴呆症最常见的鉴别诊断疾病。2006年4月引入的英国全科医生（GP）综合医疗服务合同包含了一个与抑郁症相关指标的质量与结果框架（QOF）。我们调查了引入QOF抑郁症指标是否改变了从初级保健机构到专门痴呆症诊所的转诊模式。结果表明原假设不能被拒绝。
