Analysis of refferal contents from family patients in tertiary carehospital after introduction of health care delivery system.

Park, Seung Hoi; Cho, Jong Whan; Kang, Byung Joo; Park, Hye Soon; Cho, Hong Jun; Kim, Young Sik

Original Article

Journal of the Korean Academy of Family Medicine 1991;12(3):11-16.
Published online March 1, 1991.

Analysis of refferal contents from family patients in tertiary carehospital after introduction of health care delivery system.

Seung Hoi Park, Jong Whan Cho, Byung Joo Kang, Hye Soon Park, Hong Jun Cho, Young Sik Kim

의료전달체계 도입이후 3 차병원 가정의학과 외래환자의 타과 의뢰 내용분석

조종환, 조홍준, 김영식, 박혜순, 박승회, 강병주

울산대학교의과대학 서울중앙병원 가정의학과

Abstract

An analysis of referral contents made by family physician was undertaken in Asan Medical Center from Jan to June 1990. All referral letters and charts were reviewed.
1. There were 14,020 patient visits in 6 months, from which 1,424 referrals were made.
So the overall rate of referral was 10.2%.
2. Internal medicine was the most frequently consulted followed by obstetrics and gynecology, orthopaedics, general surgery, neurology, pediatrics.
3. The most frequently consulted problems were hemorrhoids, headache, gall stone, hypertension, disordered stomach function, cough in order of frequency.
4. Relative frequency of referral made by doctors' need was 77.3% and by patients' need was 22.7% of all referrals.
5. Most frequently referred problem by doctors was the need for more sophisticated diagnosis and therapy (50.2%), and most frequent referral request by the patients were for consultation request(16.1%).
6. The overall rate of re-referral to other specialties was 1.5% of all referrals.