Duffield J S, Craig K, Plant W D
Department of Renal Medicine, Royal Infirmary NHS Trust, Edinburgh.
Scott Med J. 1997 Aug;42(4):105-7. doi: 10.1177/003693309704200402.
This retrospective observational study aimed to assess factors affecting acute referral and subsequent admission to hospital by general practitioners. Data concerning 2,303 consecutive acute referrals to hospital from all GPs in a defined study area were collected over one month. Fund holding practices cared for 13% of the population referred 13% of all referrals resulting in 14% of admissions. Referral through the A&E resulted in significantly more patients being discharged upon initial assessment (p < 0.001). A telephone call accompanying referral dramatically increased the chance of hospital admission (p < 0.001). Referral to hospital was more likely the more socially deprived the patient (p < 0.001) but had no subsequent bearing on admission.
这项回顾性观察研究旨在评估影响全科医生进行急性转诊及随后患者入院治疗的因素。在一个月的时间里，收集了来自特定研究区域内所有全科医生连续转诊至医院的2303例急性病例的数据。实行资金持有制度的诊所负责照料13%的转诊人群，转诊病例占总数的13%，入院病例占14%。通过急诊进行转诊的患者在初步评估后出院的比例显著更高（p < 0.001）。转诊时附上电话大幅增加了患者入院的几率（p < 0.001）。患者社会贫困程度越高，被转诊至医院的可能性越大（p < 0.001），但这对后续入院情况并无影响。
