Luker K A, Chalmers K I
Department of Nursing, University of Manchester, U.K.
Int J Nurs Stud. 1989;26(2):173-85. doi: 10.1016/0020-7489(89)90033-3.
The aim of this paper is to explore the concept of referral as it emerged from an in-depth qualitative study of health visiting practice. The study was conducted using a grounded theory approach to data collection and analysis (Glaser and Strauss, 1967). Forty-five experienced health visitors were interviewed using a semi-structured interview guide. The interviews were tape recorded and later transcribed. A detailed analysis is presented of the processes involved in referring. This includes working up the client for referral, working up the agency, third party referrals, and issues of control in the referral process. The outcome of referral in terms of the effect on the client is also discussed. This paper makes a contribution to our understanding of the microprocesses in everyday health visiting practice.
本文旨在探讨转诊这一概念，该概念源自对健康访视实践的深入定性研究。本研究采用扎根理论方法进行数据收集与分析（格拉泽和施特劳斯，1967年）。使用半结构化访谈指南对45位经验丰富的健康访视员进行了访谈。访谈进行了录音，随后进行了转录。文中详细分析了转诊过程中涉及的各个环节，包括为转诊准备客户、联系转诊机构、第三方转诊以及转诊过程中的控制问题。此外，还讨论了转诊对客户产生的影响。本文有助于我们理解日常健康访视实践中的微观过程。
