Irazábal Olabarrieta L, Gutiérrez Ruiz B
Centro de Salud de Rekaldeberri Bilbao Llodio Alava.
Aten Primaria. 1996 Apr 15;17(6):376-81.
To analyse the quality of information transmitted by the interclinical form (DI-1) between primary and secondary care levels; and the frequency and causes of the primary care doctor's not receiving a reply.
Descriptive and blind for the doctors taking part.
Seven health centres and 12 specialist out-clinics in the Bizkaia Health region.
The DIs issued by 43 general practitioners and answers from the specialists.
We recorded all the referrals during a 7-day period (18-26 April 1994). After the normal waiting time we went to the centres to collect the returned DIs. Patients whose form was not found in the records were phoned. Five people (3 family doctors: one as Director and two specialists) evaluated the DI, in line with established criteria.
Information was lost in 78% of the total number of referrals. The main cause was the specialist not replying (50.7%); the second, the route the form took and the patient (20.9%). The quality of information of the DI analysed was good/acceptable in 92.5% of those issued and in 90% of replies.
The high percentage loss of information was mainly due to the specialist and, secondly, to the route taken and patient. We recommended the introduction of internal mail between both levels and a study of the attitudes and expectations of the professionals concerned in order to improve the interrelationship and quality of health provision.
分析基层医疗与二级医疗层面之间通过临床间转诊表（DI - 1）传递的信息质量；以及基层医疗医生未收到回复的频率和原因。
对参与医生采用描述性和盲法。
比斯开省卫生区域的7个健康中心和12个专科门诊。
43名全科医生开具的转诊表以及专科医生的回复。
我们记录了7天内（1994年4月18日至26日）所有的转诊情况。在正常等待时间过后，我们前往各中心收集退回的转诊表。对于在记录中未找到转诊表的患者，我们进行了电话随访。5人（3名家庭医生：1名担任主任，2名专科医生）根据既定标准对转诊表进行了评估。
在转诊总数中，78%的信息出现丢失。主要原因是专科医生未回复（50.7%）；其次是转诊表的传递途径和患者因素（20.9%）。所分析的转诊表信息质量在92.5%的已开具转诊表和90%的回复中为良好/可接受。
信息丢失比例高主要归因于专科医生，其次是传递途径和患者因素。我们建议在两个层面之间引入内部邮件，并研究相关专业人员的态度和期望，以改善医疗服务的相互关系和质量。
