Improving patient follow-up in incidental screening through referral letters.
Improving patient follow-up in incidental screening through referral letters.
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通过转介信改善偶然筛查中的患者随访。
DOI：
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发表时间：
1985
影响因子：
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通讯作者：
K. Magruder
中科院分区：
文献类型：
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作者：
R. Velez;L. Anderson;S. Mcfall;K. Magruder
介绍了推荐信在增加患者获得高血压后续评估的可能性方面的效果。74名舒张压升高(95至120 mm Hg)的患者因管理原因不符合退伍军人管理局的纵向护理条件，他们被随机分为四组：患者信函、医生信函、患者和医生信函；或无信函(对照组)。没有发现病人和医生信件之间相互作用的证据。结果显示，收到患者信函的患者(63%)返回进行高血压评估的人数几乎是未收到患者信函的患者(33%)的两倍。医生函和非医生函条件之间没有发现差异。这些发现表明，患者指导的转诊函可以增加先前发现的和新发现的病例进行随访的可能性。
The effects of referral letters on increasing the likelihood of patients obtaining hypertension follow-up assessments are presented. Seventy-four patients with elevated diastolic blood pressure (between 95 and 120 mm Hg), who were administratively ineligible for longitudinal care from the Veterans Administration, were randomized into one of four groups: a patient letter; a physician letter; both patient and physician letters; or no letter (control group). No evidence of interaction between the patient and physician letters was found. Results revealed that nearly twice as many patients (63%) receiving the patient letter returned for a hypertension evaluation as compared with those who did not (33%). No difference was found between the physician letter and no physician letter conditions. These findings suggest that patient-directed referral letters can increase the likelihood of follow-up in both previously detected and newly detected cases.