Galgo Nafría A, Martell Claros N, García Ruiz F J, Abad Paniagua E, López Eady M, Fernández Pinilla C, Luque Otero M
Centro de Salud Las Aguilas, Madrid.
Aten Primaria. 1997 Apr 15;19(6):296-300.
To describe the referral of hypertense patients from primary care to a hospital arterial hypertension unit, the quality of the information sent and the profile of the referred patients.
A descriptive crossover study.
The Hospital Clínico of San Carlos in Madrid.
A simple random sample of 368 clinical records belonging to patients attended at the unit over the last 3 years.
54.6% of patients were referred from primary care. 48.9% of the interclinical (IC) notes were high-quality, with 28.7% acceptable. 36.8% of referrals were considered incorrect, 30.3% because of false unresponsiveness to treatment. Good or acceptable IC notes were associated with 94.1% of correct referrals and only 65.4% of incorrect referrals.
A high proportion of referrals which were incorrect by the consensus criteria were detected and were caused by inadequate or insufficient medical treatment. There was a statistically significant relationship found between correct referrals and the quality of information sent in the IC note.
描述高血压患者从初级保健机构转诊至医院高血压专科的情况、所传递信息的质量以及转诊患者的特征。
一项描述性交叉研究。
马德里的圣卡洛斯临床医院。
从过去3年在该科室就诊的患者的368份临床记录中抽取的简单随机样本。
54.6%的患者由初级保健机构转诊而来。48.9%的临床间（IC）记录质量高，28.7%可接受。36.8%的转诊被认为不正确，30.3%是由于对治疗假性无反应。高质量或可接受的IC记录与94.1%的正确转诊相关，而与仅65.4%的不正确转诊相关。
通过共识标准发现了高比例的不正确转诊，其原因是医疗处理不足或不充分。在正确转诊与IC记录中所传递信息的质量之间发现了具有统计学意义的关系。
