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首页> 外文期刊>BMJ: British medical journal >Explaining variation in referral from primary to secondary care: cohort study
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Explaining variation in referral from primary to secondary care: cohort study

机译：推荐从初级到解释变异二级护理:队列研究

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STUDY QUESTION To what extent do referrals from primary to secondary care vary by age, sex, and socioeconomic circumstances of the patient? Symptoms examined were postmenopausal bleeding (a potentially life threatening condition), hip pain (for which explicit referral guidelines are lacking), and dyspepsia (referral guidance provided for patients over 55 years only). SUMMARY ANSWER For all three symptoms older patients were less likely to be referred. In addition, women were less likely to be referred for hip pain, and the likelihood of referral also fell with increasing deprivation for patients with hip pain and those under 55 with dyspepsia. WHAT IS KNOWN AND WHAT THIS PAPER ADDS Women, older people, and socially disadvantaged groups are more likely to consult theirdoctoryetare less likely to receive secondary care. Whetherthese inequalities occur within secondary care or at referral from primary care is unclear. Inequalities in referral were more likely to occur in the absence of explicit referral guidance and potentially life threatening conditions.
机译：研究问题在多大程度上做推荐初级中学保健随年龄、性别、和社会经济情况下病人的?绝经后出血(症状检查潜在的威胁生命的条件),臀部疼痛(明确推荐指南缺乏),消化不良(推荐指导仅供病人超过55年)。总结答案三个以上症状患者不太可能被称为。此外,女性不太可能被称为髋关节疼痛,也推荐的可能性随着剥夺病人髋部疼痛和55岁以下的消化不良。已知什么,本文增加了女人,老年人,社会弱势群体更有可能咨询theirdoctoryetare少吗可能得到二级护理。在二级护理或不平等现象发生推荐从初级护理尚不清楚。不平等的推荐更有可能发生在缺乏明确的推荐指导和潜在的生命危险条件。

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