Wright J, Wilkinson J
Nuffield Institute for Health, Leeds, UK.
Fam Pract. 1996 Jun;13(3):259-63. doi: 10.1093/fampra/13.3.259.
Hospital referral rates have received widespread attention for both clinical and economic reasons.
This study was undertaken to find out the views of general practitioners in North Yorkshire on current arrangements for the feedback of routine referral data, perceived factors that influenced their referral behaviour and changes that might help their referral decisions.
Survey questions were chosen from the issues raised during semi-structured interviews with 11 selected practices. A postal questionnaire was sent to all 114 general practices in North Yorkshire.
A 60% (68/114) response rate was obtained from the postal questionnaire. The majority of practices agreed that the referral information supplied by them was accurate (77%) and that the feedback of this data was useful (66%). Uncertainty of diagnosis/management and patient pressure were the two most commonly agreed factors that were suggested as influencing referral behaviour. Training in procedures and use of clinical guidelines were the most popular changes chosen as being helpful in referral decision making.
The feedback of routine referral data is considered accurate and useful, and should continue. Expanding opportunities for the training of general practitioners in specific skills and the development of clinical guidelines for the management and referral of commonly suggested areas would be helpful to general practitioners in making referral decisions.
出于临床和经济原因，医院转诊率受到了广泛关注。
本研究旨在了解北约克郡全科医生对常规转诊数据反馈的现行安排的看法、影响其转诊行为的感知因素以及可能有助于其转诊决策的变化。
调查问题选自对11家选定诊所进行半结构化访谈时提出的问题。向北约克郡的所有114家全科诊所发送了邮政问卷。
邮政问卷的回复率为60%（68/114）。大多数诊所认为他们提供的转诊信息准确（77%），且这些数据的反馈有用（66%）。诊断/管理的不确定性和患者压力是被普遍认同的影响转诊行为的两个因素。程序培训和临床指南的使用是被选为有助于转诊决策的最受欢迎的变化。
常规转诊数据的反馈被认为是准确且有用的，应继续进行。扩大全科医生特定技能培训的机会以及制定常见建议领域的管理和转诊临床指南，将有助于全科医生做出转诊决策。
