Amundson L H, Vogt H B
Department of Family Medicine, University of South Dakota School of Medicine, Sioux Falls 57101.
J Am Board Fam Pract. 1989 Jan-Mar;2(1):34-6.
Family physicians frequently consult and refer to other specialists, both generalist and subspecialist. Less commonly has the family physician been used as a consultant. A randomized questionnaire survey of family physicians in five midwestern states was used to consider the frequency and reasons for other specialists collaborating with the family physician as a consultant. Fifty percent of the respondents consult and refer to as well as receive consultations/referrals from other family physicians. Thirty-five percent of the respondents receive consultations and referrals from other generalist specialists, and 28 percent receive theirs from subspecialists. Most often these occur because the patient has no family physician, but family physicians are also used for their procedural skills and coordination of patient evaluation and management, including preoperative evaluation of patients. This study confirms that the consultant family physician is an important part of the health care team.
家庭医生经常咨询并转诊给其他专科医生，包括全科医生和专科医生。而家庭医生作为顾问被其他医生咨询的情况则较少见。一项针对中西部五个州家庭医生的随机问卷调查，旨在探讨其他专科医生与家庭医生作为顾问进行协作的频率及原因。50%的受访者既会咨询并转诊给其他家庭医生，同时也会接受其他家庭医生的咨询/转诊。35%的受访者会接受其他全科专科医生的咨询和转诊，28%的受访者会接受专科医生的咨询和转诊。这些情况最常发生的原因是患者没有家庭医生，但家庭医生也因其操作技能以及患者评估与管理的协调能力，包括患者的术前评估，而被其他医生咨询。这项研究证实，担任顾问的家庭医生是医疗团队的重要组成部分。
