López Alcázar M, González Vargas F, Cassini Gómez de Cádiz L, Espejo Guerrero A, Solís Jiménez J M, Gómez Pozo B
Centro de Salud La Chana, Granada.
Aten Primaria. 1994 Oct 31;14(7):881-6.
To study the number and quality of the referrals from primary care to pneumology. To analyse their relationship to specialist medical training and the attendance pattern.
A descriptive, retrospective study.
A Pneumology Clinic at the Peripheral Specialities Centre at Cartuja (Granada).
597 referrals were gathered. These were for all the patients referred from primary care to this clinic from may to december 1992.
The overall population referral rate per 100,000 inhabitants and month of study was 39.73. The out-clinic doctors referred twice as many patients as health centre (HC) doctors, with OR = 2.01 (1.70 < OR < 2.36). Taken together, general physicians referred three times more than family doctors, with OR = 3.04 (2.54 < OR < 3.78). Regarding the quality of the referral documents, HC doctors accompanied a referral with sufficient information eleven times more often than out-clinic doctors, with OR = 11.38 (6.13 < OR < 21.47). Family doctors contributed this "correct" information thirteen times more often than general physicians without specialist training: OR = 13.50 (8.06 < OR < 22.67).
The number and quality of referrals appear to be closely related to the attendance pattern and in particular to the specialist training of health professionals.
研究从初级保健转诊至肺病科的转诊数量和质量。分析其与专科医学培训及就诊模式的关系。
描述性回顾性研究。
位于格拉纳达卡尔图哈的外周专科中心的肺病科诊所。
收集了597份转诊病例。这些病例涵盖了1992年5月至12月从初级保健转诊至该诊所的所有患者。
每10万居民每月的总体转诊率为39.73。门诊医生转诊的患者数量是健康中心（HC）医生的两倍，比值比（OR）=2.01（1.70＜OR＜2.36）。综合来看，普通内科医生转诊的患者数量是家庭医生的三倍，OR = 3.04（2.54＜OR＜3.78）。关于转诊文件的质量，HC医生随转诊提供充分信息的频率比门诊医生高11倍，OR = 11.38（6.13＜OR＜21.47）。家庭医生提供此类“正确”信息的频率比未经专科培训的普通内科医生高13倍：OR = 13.50（8.06＜OR＜22.67）。
转诊的数量和质量似乎与就诊模式密切相关，尤其是与卫生专业人员的专科培训有关。
