Glaros A G, Glass E G, Hayden W J
Department of Behavioral Sciences, University of Missouri-Kansas City 64108, USA.
J Orofac Pain. 1995 Spring;9(2):147-51.
A retrospective investigation of 257 patient records from a university-based facial pain center for patients with temporomandibular disorders examined the "natural history" of patients with temporomandibular disorders for consultation and treatment of their complaints. Data were obtained on a variety of demographic variables, referral patterns, types of providers seen for consultation, and the types of diagnostic tests ordered by these providers. Results showed that patients with temporomandibular disorders see more than three providers prior to their referral to a tertiary care center, that a considerable proportion of those providers are physicians, that patients reported undergoing a variety of diagnostic tests, and that patients reported receiving a variety of diagnoses for their condition. Results also showed that patients who initially consulted a physician were somewhat more likely to be referred to another physician, while patients who consulted a dentist were highly likely to be referred to another dentist.
一项针对某大学面部疼痛中心257例颞下颌关节紊乱症患者病历的回顾性调查，研究了颞下颌关节紊乱症患者因主诉前来咨询和治疗的“自然病程”。收集了各种人口统计学变量、转诊模式、咨询的医疗服务提供者类型以及这些提供者所开具的诊断测试类型的数据。结果显示，颞下颌关节紊乱症患者在转诊至三级医疗中心之前会咨询超过三名医疗服务提供者，其中相当一部分是医生，患者报告接受了各种诊断测试，并且患者报告其病情得到了各种诊断。结果还显示，最初咨询医生的患者被转诊至另一位医生的可能性略高，而咨询牙医的患者极有可能被转诊至另一位牙医。
