Wilkin D, Smith A G
J R Coll Gen Pract. 1987 Aug;37(301):350-3.
The variation in the number of patients general practitioners refer to hospital is a source of concern because of the costs generated and the implications for quality and quantity of care This paper compares 32 general practitioners with high referral rates with 35 doctors with low referral rates drawn from a study of 201 doctors. The mean referral rate for all 201 doctors was 6.6 per 100 consultations - for those with high referral rates the mean was 11.8 and for those with low referral rates 2.9. Differences between doctors with high and low referral rates with respect to age, sex, social class and diagnostic case mix of patients consulting were small. Doctors with high referral rates referred more patients in all categories. There were also few differences between the two groups with respect to the characteristics of the doctors themselves or their practices. The findings are discussed in the context of proposals to provide general practitioners with information on their own referral rates compared with those of other doctors.
由于所产生的费用以及对医疗质量和数量的影响，全科医生转诊至医院的患者数量差异令人担忧。本文将从对201名医生的研究中抽取的32名高转诊率全科医生与35名低转诊率医生进行了比较。所有201名医生的平均转诊率为每100次会诊6.6例——高转诊率医生的平均转诊率为11.8例，低转诊率医生为2.9例。高转诊率和低转诊率医生在年龄、性别、社会阶层以及就诊患者的诊断病例组合方面差异不大。高转诊率医生转诊的各类患者更多。两组医生自身或其执业特点方面也几乎没有差异。本文在为全科医生提供其自身与其他医生转诊率对比信息的提议背景下对研究结果进行了讨论。
