Bampoe J, Salhia B, Micallef J, Glen J, Bernstein M
Division of Neurosurgery, Toronto Hospital Western Division, University of Toronto, Ontario.
Can J Public Health. 1998 Jul-Aug;89(4):280-3. doi: 10.1007/BF03403936.
A prospective study was performed on elective neurosurgical office referrals to one neurosurgeon at the Toronto Hospital from September 1988 to May 1996. Patient level of information was tested using the chisquare test on the study population of 2,017 patients grouped according to the type of referring doctor and regional category of diagnosis. There was a statistically significant difference in the degree of knowledge of referred patients according to the type of referring doctor (p < 0.008). In addition there was statistical significance found in the difference in degree of knowledge among patients referred with the various regional categories of disease (p < 0.008). Patients referred by family physicians are not as informed as to the nature of their neurosurgical referral as those referred by neurologists and other specialists. Furthermore, patients with an intracranial diagnosis had a greater level of knowledge about their referral than those patients referred for spinal, peripheral nerve or other diagnoses.
1988年9月至1996年5月,对多伦多医院一位神经外科医生接收的择期神经外科门诊转诊患者进行了一项前瞻性研究。在2017名研究对象中,根据转诊医生类型和诊断区域类别进行分组,采用卡方检验对患者的信息水平进行测试。根据转诊医生类型,转诊患者的知晓程度存在统计学显著差异(p < 0.008)。此外,不同疾病区域类别转诊患者的知晓程度差异也具有统计学意义(p < 0.008)。与神经科医生和其他专科医生转诊的患者相比,家庭医生转诊的患者对神经外科转诊性质的了解较少。此外,颅内疾病诊断患者对转诊的了解程度高于脊柱、周围神经或其他疾病诊断的转诊患者。