Montalto M
NH&MRC National Centre for Health Program Evaluation, Fairfield Hospital, Vic., Australia.
J Qual Clin Pract. 1995 Mar;15(1):45-50.
Although quality assurance is a concern of professional Colleges of General Practice and researchers in primary care, there are practical difficulties in measuring performance in general practice. Reliance on medical record audits in general practice has many shortcomings. Referral letters hold many advantages as a tool for audit or quality assessment in general practice: accessibility; acceptability; objectivity; consensus in standard setting for letters; and a positive impact on the quality and cost of management. Professional consensus standards will continue to be developed. If they are to be used for performance measurement, rather than simply serve an educational function, more use can and should be made of referral letters to assess and improve general practitioner performance.
尽管质量保证是全科医学专业学院和初级保健研究人员所关注的问题，但在衡量全科医疗的绩效方面存在实际困难。依赖全科医疗中的病历审核存在许多缺点。转诊信作为全科医疗中审核或质量评估的工具具有诸多优势：可获取性；可接受性；客观性；信件标准制定的一致性；以及对管理质量和成本的积极影响。专业共识标准将持续制定。如果要将其用于绩效衡量，而不仅仅是发挥教育功能，那么就能够且应该更多地利用转诊信来评估和提高全科医生的绩效。
