全科医生与专科医生之间的沟通研究。
A study of communication between general practitioners and specialists.
作者信息
Westerman R F, Hull F M, Bezemer P D, Gort G
机构信息
Free University Hospital, Amsterdam, The Netherlands.
出版信息
Br J Gen Pract. 1990 Nov;40(340):445-9.
Abstract
A random sample of referral letters from general practitioners to outpatient departments of general medicine, dermatology, neurology, and gastroenterology at an Amsterdam teaching hospital were analysed together with the specialists' replies for 144 referrals. The pairs of letters were judged by a panel of four general practitioners and four specialists. Letters were assessed according to quality and content, clarity, request for return to general practitioner care, time intervals between referral and consultation and between consultation and the specialist's reply. The judges were also asked to assess whether in their opinion the letters were of value in teaching or were discourteous. Though in general intraobserver agreement on what constitutes a good letter was low, deficiencies were revealed in the quality of letters and there were delays in transmission and missed educational opportunities.
摘要
对从阿姆斯特丹一家教学医院的全科医生转介到普通内科、皮肤科、神经科和胃肠科门诊的转诊信随机样本进行了分析，并分析了专家对144例转诊的回复。四名单科医生和四名专家组成的小组对这些信件对进行了评判。根据质量和内容、清晰度、要求转回全科医生护理、转诊与会诊之间以及会诊与专家回复之间的时间间隔对信件进行评估。评委们还被要求评估他们认为这些信件在教学中是否有价值或是否无礼。尽管总体而言，观察者内部对什么是好信件的一致性较低，但信件质量存在缺陷，存在传递延迟和错失教育机会的情况。
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本文引用的文献
1
VALUE OF THE GENERAL PRACTITIONER'S LETTER. A FURTHER STUDY IN MEDICAL COMMUNICATION.全科医生信件的价值。医学沟通的进一步研究。
Br Med J. 1964 Aug 15;2(5406):435-8. doi: 10.1136/bmj.2.5406.435.
2
List size and patient contact in general medical practice.一般医疗实践中的列表规模与患者接触情况。
Br Med J (Clin Res Ed). 1984 Dec 1;289(6457):1501-5. doi: 10.1136/bmj.289.6457.1501.
3
Reasons for referral to hospital: extent of agreement between the perceptions of patients, general practitioners and consultants.转诊至医院的原因：患者、全科医生和专科医生认知之间的一致程度。
Fam Pract. 1986 Sep;3(3):143-7. doi: 10.1093/fampra/3.3.143.
4
Improving communication between general practitioners and specialists.改善全科医生与专科医生之间的沟通。
Fam Pract. 1987 Sep;4(3):176-82. doi: 10.1093/fampra/4.3.176.
5
Referral to hospital: perceptions of patients, general practitioners and consultants about necessity and suitability of referral.转诊至医院：患者、全科医生及专科医生对转诊必要性和适宜性的看法。
Fam Pract. 1987 Sep;4(3):170-5. doi: 10.1093/fampra/4.3.170.
6
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.
7
Delayed communication between hospitals and general practitioners: where does the problem lie?医院与全科医生之间的沟通延迟：问题出在哪里？
BMJ. 1988 Jul 2;297(6640):28-9. doi: 10.1136/bmj.297.6640.28-a.
8
Misinterpretation and misuse of the kappa statistic.kappa统计量的误解与误用。
Am J Epidemiol. 1987 Aug;126(2):161-9. doi: 10.1093/aje/126.2.161.
9
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Practitioner. 1988 Sep 22;232(1454 ( Pt 2)):1034-6.
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The referral system.转诊系统。
J R Coll Gen Pract. 1988 Nov;38(316):487-90.
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