Kheterpal S, Perry M E, McDonnell P J
Birmingham and Midland Eye Hospital, UK.
Eye (Lond). 1995;9 ( Pt 6 Su):67-9.
A significant proportion of patients seen in ophthalmic Accident and Emergency departments are referred by other medical practitioners. Two hundred and twenty-six referral letters from general practitioners to the Accident and Emergency Department of a large regional ophthalmology centre were examined. Information that was poorly recorded in the referral letters included social and personal background details, examination findings, management plans and investigation results. Analysis revealed that 50-70% of referrals did not constitute accidents or urgent conditions and could have been more properly assessed within usual secondary referral outpatient clinics. Ophthalmic Accident and Emergency is therefore providing a service for general practitioner referrals in excess of its defined function. The impact on purchaser/provider arrangements if appropriate redirection to outpatients were to occur would be significant.
眼科急症部门接待的很大一部分患者是由其他医生转诊而来的。我们检查了来自全科医生给一家大型地区眼科中心急症部门的226封转诊信。转诊信中记录不充分的信息包括社会和个人背景细节、检查结果、治疗计划和检查结果。分析表明，50%至70%的转诊并不构成急症或紧急情况，本可在常规二级转诊门诊进行更恰当的评估。因此，眼科急症部门为全科医生转诊提供的服务超出了其规定的职能范围。如果适当地将患者转至门诊，对购买方/提供方安排的影响将是巨大的。
