伊拉克一家三级眼科医疗中心的眼科门诊转诊模式

Muthanna Basheer Yasir, Ali Nema Abushnein, Wissam Yosif
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摘要

目的:我们旨在对一家三级眼科诊所的门诊病人进行全面审查,以评估包括眼部疾病谱、转诊模式、转诊原因和病人自我评估在内的各个方面,尤其是自我转诊: 横断面研究: 研究地点和时间:Ibn Al-Haitham 眼科教学医院,2023 年 4 月至 5 月: 转诊信分为初级保健中心(PHC)、二级医院、内部转诊和私人诊所。转诊信的质量根据临床信息和特殊要求进行评估: 共有 1367 人符合研究条件,年龄为 40.8 ± 22.17 岁。其中,19.2%由初级保健中心转诊,18.4%由二级医院转诊,10.7%由私人诊所转诊,3.3%为内部转诊,37.2%为自我转诊,11.3%为内科或外科复诊。视力模糊是 677 名(51.6%)患者的主要主诉。在 659 封转诊信中,25% 的患者获得了两项基本信息,5.2% 的患者获得了三项基本信息,只有 0.8% 的患者获得了四项基本信息。大多数信件(97.2%)都提出了具体要求。其中,26.3%的初级保健中心、38.2%的医院、34.9%的私人诊所、21.7%的自我转诊患者和 51.1%的内部转诊患者认为他们的处境困难: 结论:在眼科三级医疗中心就诊的大多数病例都是常见病,初级保健中心和综合医院可以有效地处理这些病例。提高专科医疗机构的转诊标准可减少三级医院的超负荷工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Referral Patterns to an Ophthalmic Outpatient Clinic in a Tertiary Eye Care Center in Iraq
Purpose:  We aim to conduct a comprehensive review of outpatients at a tertiary ophthalmology clinic to evaluate various aspects including the spectrum of eye disorders, referral patterns, reasons for referral, and patient self-assessment, with a particular focus on self-referrals. Study Design:  A cross-sectional study. Place and Duration of Study:  Ibn Al-Haitham Teaching Eye Hospital from April to May, 2023. Methods:  Referral letters were grouped into the primary health center (PHC), secondary hospital, internal referral and private clinic. Referral letter quality was assessed based on clinical information and particular request. Results:  A total of 1367 individuals aged 40.8 ± 22.17 years were eligible for study. There were 19.2% referrals form PHC, 18.4% from secondary hospitals, 10.7% from private clinics, 3.3% were internal referrals, 37.2% were self-referred and 11.3% had medical or surgical follow-up. Blurred vision was the predominant complaint of 677 (51.6%) patients. Out of 659 referral letters, 25% scored two essential information items, 5.2% scored three, and only 0.8% scored four items. The majority (97.2%) of letters provided specific requests. Among all, 26.3% of PHC, 38.2% of hospitals, 34.9% of private clinics, 21.7% self-referred and 51.1% of internally referred patients considered their situations difficult. Conclusion:  Majority of cases seen in ophthalmology tertiary centers consist of common conditions that could be effectively managed by PHCs and general hospitals. Improved referral standards for specialized medical institutions may reduce tertiary hospital over population.
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