Christensen B, Sørensen H T, Mabeck C E
Institute of General Practice, University of Aarhus, Denmark.
Scand J Prim Health Care. 1988 Feb;6(1):29-32. doi: 10.3109/02813438809009286.
There are many unexplained differences in the rates at which general practitioners make referrals to other medical specialists. We investigated 5,082 referrals from 141 general practitioners to dermatologists in Ringkøbing county in Denmark. As an expression of the referral rate to dermatologists an index of referral to dermatologists was estimated for every general practitioner. The index of referral to dermatologists was the number of referrals to the dermatologists per 1,000 patients per year, including children, standardized for age and sex to the average population in Ringkøbing County. The following six variables were evaluated in relation to the referral index: 1) Distance to the dermatologists, 2) number of doctors per practice, 3) number of consultations per general practitioner per year, 4) number of patients registered, 5) number of consultations per 1,000 patients per year standardized for age and sex, and 6) number of supplementary procedures per consultation. Stepwise multiple linear regression analysis was used. The study showed that the referral index to dermatologists fell both with distance to the dermatologist and with the number of supplementary procedures per consultation. No correlation was found between the referral index and the four other variables studied.
全科医生向其他医学专科医生转诊的比例存在许多无法解释的差异。我们调查了丹麦灵克宾县141名全科医生向皮肤科医生的5082次转诊。作为向皮肤科医生转诊率的一种表示方式，为每位全科医生估算了向皮肤科医生转诊的指数。向皮肤科医生转诊的指数是每年每1000名患者（包括儿童）向皮肤科医生转诊的次数，按年龄和性别标准化至灵克宾县的平均人口。针对以下六个变量与转诊指数进行了评估：1）到皮肤科医生的距离，2）每个诊所的医生数量，3）每位全科医生每年的会诊次数，4）登记的患者数量，5）每年每1000名患者按年龄和性别标准化的会诊次数，以及6）每次会诊的补充程序数量。采用逐步多元线性回归分析。研究表明，向皮肤科医生的转诊指数随到皮肤科医生的距离以及每次会诊的补充程序数量的增加而下降。在所研究的转诊指数与其他四个变量之间未发现相关性。
