González-Grajera B, Hormeño R, Buitrago F
Unidad Docente de Medicina de Familia y Comunitaria, Centro de Salud Universitario La Paz, Badajoz.
Aten Primaria. 1995 Apr 30;15(7):426-30.
To evaluate the compliance with the new model forms for referral to hospital emergency services and possible differences between urban and rural health centres, and among general practitioners and family & community medicine specialists.
An observational, crossover study.
Health Area 1 in the province of Badajoz.
800 new model forms for referral, equivalent to the same number of patients, sent to the casualty department of the referral hospital.
76.7% of the referrals came from the rural environment, and the other 23.3% from urban health centres. Gathering anamnesis and symptoms is the only criterion which exceeds 90% of the recording in both rural and urban settings, and among general practitioners and family medicine specialists. Only 23.9% of referrals (23.8% in rural health centres and 22.7% in urban ones) met the four criteria which were considered indispensable for a minimum level of compliance. These percentages were 23.2% and 31.7% when broken down for general practitioners and family medicine specialists (no significant differences).
There was a low level of compliance with the new model form for referral: there were no statistically significant differences in compliance between rural and urban health centres, nor between general practitioners and family & community medicine specialists.
评估转诊至医院急诊科的新型转诊表的依从性，以及城乡卫生中心之间、全科医生与家庭及社区医学专科医生之间可能存在的差异。
一项观察性交叉研究。
巴达霍斯省的第1卫生区。
800份新型转诊表，相当于相同数量的患者，被送往转诊医院的急诊科。
76.7%的转诊来自农村地区，其余23.3%来自城市卫生中心。收集病史和症状是农村和城市地区以及全科医生和家庭医学专科医生中记录超过90%的唯一标准。只有23.9%的转诊（农村卫生中心为23.8%，城市卫生中心为22.7%）符合最低合规水平所需的四项标准。按全科医生和家庭医学专科医生细分时，这些百分比分别为23.2%和31.7%（无显著差异）。
新型转诊表的依从性较低：城乡卫生中心之间以及全科医生与家庭及社区医学专科医生之间在依从性方面无统计学显著差异。
