Wagstaff M H, Rigby M L, Redington A N
Department of Paediatric Cardiology, Royal Brompton Hospital, Sydney, London, UK.
Heart. 1998 Mar;79(3):223-4. doi: 10.1136/hrt.79.3.223.
To assess the workload of, and referral patterns to, paediatric cardiology outreach clinics to provide data for future planning.
Descriptive study of outpatient attendance during 1991 and 1996.
Five district general hospitals with unchanged local demographics and referral patterns during the study period.
Postal, telephone, and on site survey of clinic records and case notes.
The number of outpatients increased by 61%, with a consequent increase in the number of clinics held and patients seen in each clinic. The number of patients aged between 10 and 15 years doubled.
These data confirm the impression that demands for paediatric cardiology services are increasing. The increased need for attendance at outreach clinics has inevitable consequences for the clinical, teaching, and research activities of specialists in tertiary centres. An increase in the number of paediatric cardiologists, or development of local expertise (general paediatricians with an interest in cardiology), will be required. Furthermore, the increasingly large cohort of older teenagers and young adults with congenital heart disease underscores the need for the development of specialist facilities.
评估儿科心脏病外展诊所的工作量及转诊模式，为未来规划提供数据。
对1991年至1996年门诊就诊情况的描述性研究。
五家地区综合医院，研究期间当地人口统计学和转诊模式未变。
对诊所记录和病历进行邮寄、电话及现场调查。
门诊患者数量增加了61%，随之举办的诊所数量及每个诊所接待的患者数量均有所增加。10至15岁患者的数量翻了一番。
这些数据证实了儿科心脏病服务需求在增加这一印象。外展诊所就诊需求的增加对三级中心专科医生的临床、教学和研究活动产生了不可避免的影响。需要增加儿科心脏病专家的数量，或培养当地专业人才（对心脏病学感兴趣的普通儿科医生）。此外，患有先天性心脏病的大龄青少年和青年人群体日益庞大，凸显了发展专科设施的必要性。
