Hines R M, Curry D J
Can Med Assoc J. 1978 May 6;118(9):1065-6, 1071-3.
To improve communication in the referral process a standard referral form was composed that seeks to involve the patient in the referral process. It has been well received by the consulted physicians, the family practitioners who use it in everyday office parctice and the patients. A review of referral patterns in general practice showed many similarities from practice to practice and from country to country. Ophthalmologists were the most frequently consulted, followed by obstetricians and gynecologists, general surgeons, otolaryngologists and orthopedic surgeons. A follow-up assessment of referral outcome revealed a poor response from the teaching clinics of one tertiary-care hospital to the referring physicians. This resulted in a substantial decrease in the proportion of patients referred from one family practice unit to the hospital over a 3-year period.
为了改善转诊过程中的沟通，设计了一份标准转诊表，旨在让患者参与到转诊过程中。该转诊表受到了会诊医生、在日常门诊工作中使用它的家庭医生以及患者的好评。对全科医疗中的转诊模式进行的一项审查表明，不同诊所之间以及不同国家之间存在许多相似之处。眼科医生是会诊最频繁的，其次是妇产科医生、普通外科医生、耳鼻喉科医生和骨科医生。对转诊结果的后续评估显示，一家三级护理医院的教学诊所对转诊医生的回应不佳。这导致在三年时间里，从一个家庭医疗单位转诊到该医院的患者比例大幅下降。
