https://scholars.lib.ntu.edu.tw/handle/123456789/188035
標題: | Family physician referrals and outcome at a medical center 醫學中心家庭醫師轉診行為暨結果之研究: 以台大醫學院為例 |
作者: | 吳中興 謝維銓 呂碧鴻 WU, CHUNG-SHING HSIEH, WEI-CHUAN LUE, BEE-HORNG |
關鍵字: | referral rate;referral behavior;comprehensive care | 公開日期: | 1991 | 卷: | v.1 | 期: | n.4 | 起(迄)頁: | 201-9 | 來源出版物: | CHINESE JOURNAL OF FAMILY MEDICINE | 摘要: | A study of family physician referrals and their outcomes was conducted at NTUH from January to December, 1990.Two hundred and eight referrals were made out of 27,733 visits.The overall referrals rate was 0.75%, the main method of referral being the use of a referral sheet(93.6%). Difficulty in further diagnosis and treatment was the main reason for referrals(49.4%).The referring physician was the decision-maker in the referral process,and internists, psychiatrists,and neurologists were the most frequent consultants. Second-year family physician residents referred the most,and individual referral rates decreased with increased length of training.Most referrals were to the out-patient department and half of the referral cases were continuously cared for by the consultants. showed that referral was the appropriate course of action. The referral outcomes and diagnosis differed significantly depending on the length of training of the referring physician.From this study it can be recommended that family physicians should pay more attention to the referral process within medicial center,and family physicians should facilitate communication between consulting physicians and referral patients so as to achieve optimal rapport and results. Increased training for those diseases with higher referral rates is essential.#1583# |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/93022 |
顯示於: | 醫學系 |
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