Grethe H, Friedemann H, Schmiedel G
Medizinisches Versorgungsgebiet Sehma.
Z Gesamte Hyg. 1990 Jan;36(1):8-11.
An analysis is made of the scope of health care performances provided by family practitioners and paediatricians to children in a mountainous community (of the Erzgebirge), with special regard to the informational relations existing in the community. The survey is, in the main, a two-stage interval investigation. At the first stage, a description is given of the high share the family practitioner has in the health care performances provided to children (preventive care: 100%; curative care: 95.4%, about 60% of which require the occasional collaboration with the paediatrician). At the second stage, an informational sheet is used, which not only permits complete feed-back information from the paediatrician but also increases the referral rate, multiplies the back referral rate and improves the quality of health care in general. This model is recommended for use by analogous territories.
对山区社区(厄尔士山脉地区)家庭医生和儿科医生为儿童提供的医疗服务范围进行了分析,特别关注社区中存在的信息关系。该调查主要是一个两阶段的间隔调查。在第一阶段,描述了家庭医生在为儿童提供的医疗服务中所占的高比例(预防保健:100%;治疗保健:95.4%,其中约60%需要偶尔与儿科医生合作)。在第二阶段,使用了一份信息表,它不仅能让儿科医生提供完整的反馈信息,还能提高转诊率、增加回诊率并总体上改善医疗服务质量。建议类似地区采用这种模式。