Janati Ali, Amini Abolgasem, Adham Davoud, Naseriasl Mansour
Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran.
Medical Education Department, Tabriz University of Medical Sciences, Tabriz, Iran.
Cad Saude Publica. 2017 Mar 30;33(2):e00043016. doi: 10.1590/0102-311X00043016.
Establishing effective communication between general practitioners (GPs) and medical specialists is a key component of the referral system. Written communication between GPs and medical specialists is the most common communication tool. This study was conducted to evaluate quality (information content) of the referral letters written by GPs and addressed to gynecologists and cardiologists. We evaluated quality of the referral letters through a cross-sectional study in the villages of Sarab city, located in East Azerbaijan Province, Northwest Iran. The study was conducted during August and September 2015 in which a total of 400 referral letters were evaluated according to specific quality criteria. Cluster sampling was implemented and data were collected using an instrument designed by the Department of Family Medicine at the University of Manitoba, Canada. A specifically designed referral form was used to refer pregnant women to gynecologists. Referrals addressed to gynecologists showed better quality in comparison to cases referred to cardiologists. Legibility of referral letters was 73%. It is recommended that agreed-upon referral letters be designed cooperatively for different groups of diseases. Furthermore, primary health care providers should be trained to write proper referral letters.
在全科医生（GP）和医学专家之间建立有效的沟通是转诊系统的关键组成部分。全科医生与医学专家之间的书面沟通是最常见的沟通工具。本研究旨在评估全科医生写给妇科医生和心脏病专家的转诊信的质量（信息内容）。我们通过在伊朗西北部东阿塞拜疆省萨拉布市的村庄进行横断面研究来评估转诊信的质量。该研究于2015年8月至9月进行，根据特定质量标准共评估了400封转诊信。采用整群抽样，并使用加拿大曼尼托巴大学家庭医学系设计的工具收集数据。一种专门设计的转诊表格用于将孕妇转诊给妇科医生。与转诊给心脏病专家的病例相比，转诊给妇科医生的病例质量更高。转诊信的易读性为73%。建议针对不同疾病群体合作设计统一的转诊信。此外，应培训初级卫生保健提供者撰写恰当的转诊信。
