29 KB146 KB26 KB200220262005Rebol-Zadravec, Mojcaštevilka:4letnik:44str. 199-205ISSN:0351-0026COBISSID:1516261URN:URN:NBN:SI:doc-56YBRLTOslInštitut za varovanje zdravja Republike SlovenijeZdravstveno varstvonapotitvesplošna medicinasplošni zdravnikAnaliza napotitev zdravnika splošne medicine v času specializacije| Analysis of referrals by the general practitioner during the specialist training|Introduction: Controlling specialist referrals is one of the main tasks of general practitioners. It is important for general practitioners to have insight in the number of specialist referrals, and to compare their referral rates with those of their colleagues. This study analyses referrals of patients by the general practitioner to specialists. Metods: The study was carried out in the general practitioner's practice in the Maribor Health Centre during her specialist training. Data were collected for patients referred to specialists during a four-month period in 1999. The data were analysed using some basic statistical methods. Results: Of the 2,489 patientsseen, 433 were referred to specialists, the referral rate being 17.3 %of all visits. It was higher than the Slovene average for the same year (13.8%), and was found to increase with the age of the patients. Men were morefrequently referred to specialists than women. A large proportion of referrals were made routinely, or because they were requested by the patient. Most frequently, the patients were referred to surgeons. The types of specialists to whom referrals were made varied by age group. Conclusion: The referral rate during the time of the survey was too high. Potential reasons for this high referral rate were identified, and some solutions were suggested. A new survey will be needed to evaluate their effectsUvod: Pregled nad napotitvami k specialistu je ena glavnih nalog zdravnika splošne medicine. Pomembno za zdravnika splošne medicine je, da ima nadzor nadštevilom svojih napotitev kot tudi primerjavo s kolegi. Predstavili bomo analizo zdravnikovega dela glede na napotitve k specialistom iz ambulante splošne medicine. Metode: Študija je potekala v ambulanti splošne medicine v zdravstvenem domu v Mariboru v času, ko je zdravnica opravljala specializacijo. Spremljali so se podatki o bolnikih, ki jih je napotila k specialistom v obdobju pribl. štirih mesecev v letu 1999. Naredili smo analizoz nekaterimi osnovnimi statističnimi metodami. Rezultati: 433 od 2489 pregledanih bolnikov je bilo napotenih k specialistom. Delež napotitev je znašal 17,3 % vseh pregledov in je višji od slovenskega povprečja v istem letu, ki je znašalo 13,8 %. Naraščal je s starostjo bolnikov. Moški so bili napoteni pogosteje. Pomemben delež so zavzemale rutinske napotitve in napotitve, na katere so vplivali bolniki. Najpogostejši specialist je bil kirurg. Število napotitev k internistom je naraščalo v višjih starostnih skupinah. V različnih starostnih skupinah je bilo povpraševanje po posameznih specialistih različno. Zaključek: Stopnja napotitev je bila v opazovanem časuprevisoka. Navedeni so možni vzroki zanjo in naštetih je nekaj možnih ukrepov. Potrebna bi bila nova raziskava za ovrednotenje njihovih učinkovTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaInštitut za varovanje zdravja RS