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全科医生对放射学设备的使用。

Use of radiological facilities by general practitioners.

作者信息

Mair W J, Berkeley J S, Gillanders L A, Allen W M

出版信息

Br Med J. 1974 Sep 21;3(5933):732-4. doi: 10.1136/bmj.3.5933.732.

Abstract

The 11,360 direct referrals to diagnostic radiological facilities by general practitioners in the Aberdeen area during 1973 were studied. These represented about 12% of the adult radiology performed in the main x-ray departments of the city, and barium meal examinations amounted to half of all such outpatient contrast examinations. Chest x-ray and barium meal examinations were the most frequently used procedures.Some abnormality was detected at 34% of all examinations, and the barium meal examinations requested by general practitioners showed a similar percentage of abnormal findings to those requested by Aberdeen hospital doctors.The average referral rate for all practices was 24.6 per 1,000 practice population per year. Singlehanded general practitioners referred fewer patients for diagnostic radiology than those working in group practices, and rural practitioners referred fewer than urban general practitioners. This trend was emphasized at a distance greater than 15 miles from the city.

摘要

对1973年阿伯丁地区全科医生直接转诊至诊断放射科设施的11360例病例进行了研究。这些病例约占该市主要X光科室成人放射检查的12%,而钡餐检查占所有此类门诊造影检查的一半。胸部X光检查和钡餐检查是最常用的检查方法。所有检查中34%检测到某种异常情况,全科医生要求进行的钡餐检查显示出异常结果的比例与阿伯丁医院医生要求进行的检查相似。所有诊所的平均转诊率为每年每1000名诊所人口24.6例。个体全科医生转诊进行诊断放射检查的患者比团体执业的医生少,农村执业医生转诊的患者比城市全科医生少。在距离城市超过15英里的地方,这种趋势更为明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8928/1611820/af2ae500ca6f/brmedj01997-0050-a.jpg

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