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KMID : 0384320030240030254
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Korean Journal of Family Medicine
2003 Volume.24 No. 3 p.254 ~ p.259
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Family Medicine Residents’ Perception of Attitude Towards Request for Referral in Out-patient
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Yoon Hong-Joo
Jin Seong-Hee
Cheong Yoo-Seock
Yoo Sun-Mi
Park Eal-Whan
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Abstract
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Background: After amendment of the national health insurance law to enforce and reform primary health care, the number of family medicine out-patients was increased. Some patients requested referral. Therefore, this study was made to reveal family medicine residents’ perception of attitude towards request for referral.
Methods: The self-administered questionnaires were collected by post mailing (July 1 to July 30, 2002) and by e-mailing (July 25 to August 10, 2002). The questionnaire contained the followings: general characteristics, issues of referral request, influence of referral request in training, and influence in private family clinics.
Results: The overall response rate was 22.2% (93/418). Patients need was the most common cause of referral (62.0%). Among the total, 46.2% of respondents gave answers that increasing number of patients at the family medicine out-patient clinic was beneficial in increasing their experience. Also, 55% of respondents replied that the present state of family medicine out-patient system influenced lowering of motivation in training. Overall, 63.4% of respondents replied that the present state of family medicine out-patient system led a trend of distrust to private family clinics.
Conclusion: Patients request was the most common cause of referral in family medicine out-patient clinic. The present state of referral system in family medicine out-patient clinic infulenced lowering of motivation in training and a trend of distrust to private family clinics.
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KEYWORD
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referral, primary health care, training
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