Doeleman F
Fam Pract. 1987 Sep;4(3):176-82. doi: 10.1093/fampra/4.3.176.
An investigation was carried out in the Almelo district in the Netherlands to study referral problems and to improve communication and cooperation between general practitioners and specialists in the area. During September and October 1984 seven general practitioners referred 30 patients to internists. There appeared to be considerable disagreement between general practitioners and internists about the necessity of the referrals from a biomedical view point and less so about the objective of the referrals. Twelve referrals were labelled as 'problem referrals'. Each of these was reviewed by the general practitioner and the internist who were involved in the referral in the presence of the author. In these meetings agreement was reached on the objective and the necessity of each of the 12 referrals. The evaluation, however, showed marked differences between general practitioners and internists with respect to the effect of the project: most general practitioners said that participation in the study influenced their conduct in referring patients to specialists, while most internists replied negatively.
在荷兰的阿尔梅洛地区开展了一项调查，以研究转诊问题，并改善该地区全科医生与专科医生之间的沟通与合作。1984年9月和10月期间，7名全科医生将30名患者转诊给了内科医生。从生物医学角度来看，全科医生和内科医生在转诊必要性方面似乎存在相当大的分歧，而在转诊目的方面的分歧则较小。12次转诊被标记为“问题转诊”。作者在场的情况下，参与转诊的全科医生和内科医生对每一次这样的转诊进行了复查。在这些会议上，就12次转诊中的每一次的目的和必要性达成了一致。然而，评估显示，全科医生和内科医生在该项目的效果方面存在显著差异：大多数全科医生表示，参与该研究影响了他们将患者转诊给专科医生的行为，而大多数内科医生则给出了否定的回答。
