McPhee S J, Lo B, Saika G Y, Meltzer R
Arch Intern Med. 1984 Jun;144(6):1265-8.
We prospectively studied the communication between 27 referring practitioners and their consultants for 464 consecutive patient referrals from a general internal medicine group practice at a university medical center. The rates of referral among practitioners varied from 0 to 28.1 per 100 patients visits. Though referring physicians provided patient background information in 98% of the cases, they made explicit the purpose of the referral in only 76% of the cases. They contacted consultants directly in only 9% of the cases. In return, consultants communicated their findings to referring practitioners in only 55% of the consultations. Referring physicians who personally contacted consultants or who supplied them with more clinical information were more likely to learn the results of the consultation. While communication between the referring physicians and consultants in this setting is limited, it may be improved if referring physicians supply more clinical information to consultants and contact them directly.
我们前瞻性地研究了一所大学医学中心普通内科集体医疗实践中27位转诊医生及其会诊医生之间针对464例连续患者转诊的沟通情况。医生之间的转诊率在每100次患者就诊中从0到28.1不等。尽管转诊医生在98%的病例中提供了患者背景信息，但他们仅在76%的病例中明确说明了转诊目的。他们仅在9%的病例中直接联系会诊医生。作为回报，会诊医生仅在55%的会诊中将其检查结果告知转诊医生。亲自联系会诊医生或向其提供更多临床信息的转诊医生更有可能了解会诊结果。虽然在这种情况下转诊医生与会诊医生之间的沟通有限，但如果转诊医生向会诊医生提供更多临床信息并直接与其联系，沟通情况可能会得到改善。
