Rawalpindi Medical University, Rawalpindi, Pakistan.
Riphah University Islamabad, Pakistan.
J Pak Med Assoc. 2021 Dec;71(12):2794-2798. doi: 10.47391/JPMA.01-1351.
Competency in referral writing skill is needed by doctors for which they are not adequately trained. Although there has been a lot of discussion on improvement of skills for writing consultation letters, still priority is not given to this important task. Ideally there should be a course with assessment for teaching and learning medical referral writing skills for students. Currently, there is no such tool to assess the way communication letters are written. An 18-point assessment scale has been developed through Delphi technique to improve the quality of referral letters. The objective of the present study was to design a structured Proforma for writing referrals, with the consensus of seven participants using Delphi. The place of study was Rawalpindi medical university and allied hospitals. Results were finalised after the acceptance of structured referral by selected participants through Delphi. The response rate was 70%. The validity and interrater reliability were calculated using SPSS25. The Cronbach's alpha was 0.7 and Kappa was 0.3. Both were statistically significant. The designed Proforma for writing referrals, with its interrater reliability calculated, seems effective for writing effective and structured referrals. The study further recommends training junior doctors in making effective referrals.
医生需要具备转诊书写技能，但他们并没有得到充分的培训。尽管已经有很多关于提高咨询信件写作技能的讨论，但这项重要任务仍未得到优先考虑。理想情况下，应该有一门课程，通过评估来教授和学习医学转诊写作技能，以学生为对象。目前，没有这样的工具来评估沟通信件的书写方式。通过德尔菲技术开发了一个 18 分的评估量表，以提高转诊信的质量。本研究的目的是使用德尔菲法，通过 7 名参与者的共识，设计一份用于书写转诊的结构化表格。研究地点为拉瓦尔品第医科大学及其附属医院。在经过选定的参与者通过德尔菲法接受结构化转诊后，最终确定了结果。回复率为 70%。使用 SPSS25 计算了有效性和评分者间信度。Cronbach 的 alpha 为 0.7，kappa 为 0.3。两者均具有统计学意义。该设计的转诊书写表格，经过计算其评分者间信度，似乎对书写有效和结构化的转诊非常有效。该研究进一步建议对初级医生进行有效的转诊培训。
