Trends in Physician Referrals in the United States, 1999-2009
Trends in Physician Referrals in the United States, 1999-2009
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DOI：
10.1001/archinternmed.2011.722
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发表时间：
2012-01-23
影响因子：
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通讯作者：
Landon, Bruce E.
中科院分区：
文献类型：
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作者：
Barnett, Michael L.;Song, Zirui;Landon, Bruce E.
背景资料：医生转诊在美国的门诊护理中发挥着核心作用;然而，随着时间的推移，对医生转诊的国家趋势知之甚少。本研究的目的是评估从1999年到2009年美国医生办公室就诊转介给其他医生的年比率的变化。方法：我们分析了美国具有全国代表性的门诊患者就诊的横截面，使用1993年至1999年全国门诊医疗调查和全国医院门诊医疗调查中的845243次就诊样本，2009年，重点是1999年至2009年的十年。结果：从1999年到2009年，门诊就诊导致转诊的概率从4.8%增加到9.3%（P
Background: Physician referrals play a central role in ambulatory care in the United States; however, little is known about national trends in physician referrals over time. The objective of this study was to assess changes in the annual rate of referrals to other physicians from physician office visits in the United States from 1999 to 2009.Methods: We analyzed nationally representative cross-sections of ambulatory patient visits in the United States, using a sample of 845 243 visits from the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey from 1993 to 2009, focusing on the decade from 1999 to 2009. The main outcome measures were survey-weighted estimates of the total number and percentage of visits resulting in a referral to another physician across several patient and physician characteristics.Results: From 1999 to 2009, the probability that an ambulatory visit to a physician resulted in a referral to an-other physician increased from 4.8% to 9.3% (P