To study the relationship of referral rates to some variables related to doctors'characteristics. patients'characteristics and location of the practice from the nearest secondary care hospital.
All primary health care (PHC) physicians (N=45) working in 10 PHC clinics during March 1992 participated in the study.
A special form was designed to collcct daily data from each clinic for all patients attending such clinics during the study period regarding ; age. sex. diagnosis, referral etc.
Another form was designed to collect data from the doctors'register regarding doctors'sex years since qualifications type of postgraduate study. and nationality.
Highly significant variabilities among PHC physicians were observed in their referral rates to secondary care hospital services.
These variabilities were significantly related to some doctors and patients characteristics, as well as location of the practice.
There is need to establish guidelines for referrals and usc of investigations by PHC physicians in Saudi Arabia who are recruited from different health care models. and with different educational and cultural backgrounds.
There are also need for further studies to elucidate the impact of such guidelines on appropriate use of secondary care services and decrease cost.
Mots-clés Pascal : Exploration, Evaluation, Indication, Prescription médicale, Soin, Primaire, Arabie Saoudite, Asie, Homme
Mots-clés Pascal anglais : Exploration, Evaluation, Indication, Medical prescription, Care, Primary, Saudi Arabia, Asia, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0272079
Code Inist : 002B30A01C. Création : 27/11/1998.