Harris Mark F, Pascoe Shane, Crossland Lisa, Beilby Justin, Veitch Craig, Spigelman Allan, Weller David
Centre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales.
Aust Fam Physician. 2012 Nov;41(11):899-902.
This article explores the views of general practitioners on their referral of colorectal cancer patients following diagnosis to specialist surgeons.
Sampling was purposive. Nineteen GPs representing urban and rural areas participated in four focus groups.
General practitioners viewed their relationship with surgeons to be of prime importance in the decision about whom to refer. This relationship allowed faster referrals and improved feedback from the specialist to the GP. General practitioners preferred referral to the private health services because they perceived delays in the public system and that referral and communication was easier with private specialists. Neither the volume of colorectal cancer work nor the availability of a multidisciplinary team influenced their decision making.
The relationship and communication between GP and surgeon are important in facilitating the referral pathway and the continuing role that many GPs would like to have in the care of their patients.
本文探讨了全科医生在将结直肠癌患者诊断后转诊给专科外科医生方面的观点。
采用目的抽样法。来自城乡地区的19名全科医生参加了四个焦点小组。
全科医生认为他们与外科医生的关系在决定转诊对象方面至关重要。这种关系使得转诊更快，并改善了专科医生向全科医生的反馈。全科医生更倾向于转诊到私立医疗服务机构，因为他们认为公共系统存在延误，并且与私立专科医生转诊和沟通更容易。结直肠癌工作量和多学科团队的可用性均未影响他们的决策。
全科医生与外科医生之间的关系和沟通对于促进转诊途径以及许多全科医生希望在患者护理中继续发挥的作用非常重要。
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