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치과대학병원 치과보존과로 전달된 진료 의뢰서의 충실도 분석

Fidelity analysis of Patient’s Referral Letters delivered to the Department of Conservative Dentistry in a Dental University Hospital

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In cases of a patient referral, the general dentist should communicate the patient’s dental information as clearly as possible to the specialist to whom he/she is referring his/her patient. For this reason, it is necessary to write a referral letter in an accurate and complete manner. The purpose of this study is to analyze the referral letters of patients who are referred to the department of conservative dentistry in a dental university hospital. From January, 2017 to December, 2018, we gathered the information of the patients who were referred to the department of conservative dentistry in a dental university hospital with referral letter. We evaluated the fidelity of a total of 750 referral letters and recorded the information of the referral dentist and the dental clinic. The relationship between each item and fidelity was analyzed using SPSS 18.0 program. The analysis of the contents of the referral letters yielded the following results: The fidelity of the referral letter was higher when the patient was referred during the root canal treatment, or when there was a root canal filling or when there was pain during chewing. The fidelity of referral letter was low in cases where the referring clinic is close to and has cooperative relationship with dental university hospital. Among the factors affecting the fidelity, the year of graduation of the referral dentist was the most influential. This study confirmed the fact that the clinical practice of writing patient referral letters still leaves much to be desired. In order to solve this problem, it is necessary to create more clear and standardized guidelines for writing referral letters.

Abstract

In cases of a patient referral, the general dentist should communicate the patient’s dental information as clearly as possible to the specialist to whom he/she is referring his/her patient. For this reason, it is necessary to write a referral letter in an accurate and complete manner. The purpose of this study is to analyze the referral letters of patients who are referred to the department of conservative dentistry in a dental university hospital. From January, 2017 to December, 2018, we gathered the information of the patients who were referred to the department of conservative dentistry in a dental university hospital with referral letter. We evaluated the fidelity of a total of 750 referral letters and recorded the information of the referral dentist and the dental clinic. The relationship between each item and fidelity was analyzed using SPSS 18.0 program. The analysis of the contents of the referral letters yielded the following results: The fidelity of the referral letter was higher when the patient was referred during the root canal treatment, or when there was a root canal filling or when there was pain during chewing. The fidelity of referral letter was low in cases where the referring clinic is close to and has cooperative relationship with dental university hospital. Among the factors affecting the fidelity, the year of graduation of the referral dentist was the most influential. This study confirmed the fact that the clinical practice of writing patient referral letters still leaves much to be desired. In order to solve this problem, it is necessary to create more clear and standardized guidelines for writing referral letters.

참고문헌 (17)

  1. The Korean Academy of Family Medicine, "Textbook of family medicine" (2008), Hankook book
  2. Geyman JP, "Referrals in family practice : A comparative study by geographic region and practice setting", J Fam Pract, 3, pp.163~167 (1976)
  3. Wu C, "Analysis of outpatient referral failures", J Fam Pract, 42, pp.498~502 (1996)
  4. Reichman M, "Optimizing referrals & consults with a standardized process", Fam Pract Manag, 14, pp.38~42 (2007)
  5. "AAE Endodontic case difficulty assessment form and guidelines"[URL]
  6. 김선아, "Prevalence of referral reasons and clinical symptoms for endodontic referrals", Restorative Dentistry and Endodontics, 39(3), pp.210~214 (2014), 대한치과보존학회[DOI]
  7. 최민규, "일개 대학병원으로 의뢰된 환자의 진료 의뢰서 분석", 의료커뮤니케이션, 7(2), pp.87~93 (2012), 대한의료커뮤니케이션학회[DOI]
  8. 유순규, "응급의료센터로 전원된 환자의 진료의뢰서 표준화 및 충실도에 관한 연구", 한국응급구조학회지, 5(1), pp.177~198 (2001), 사단법인 한국응급구조학회
  9. 고영한, "최근 8년간 전북대학교치과병원 소아치과에 내원한 초진환자에 관한 실태조사", 대한소아치과학회지, 34(2), pp.292~298 (2007), 대한소아치과학회
  10. 류현섭, "최근 10년간 조선대학교 치과병원 소아치과에 내원한 신환에 관한 역학적 연구(1990-1999)", 대한소아치과학회지, 28(3), pp.345~354 (2001), 대한소아치과학회
  11. 김동일, "개원의의 진료의뢰 시 기대요인 및 만족도에 관한 연구-협력병원체제 여부를 중심으로", 한국의료질향상학회지, 9, pp.198~208 (2002)
  12. Djemal S, "Quality improvement of referrals to a department of restorative dentistry following the use of a referral proforma by referring dental practitioners", Br Dent J, 197, pp.85~88 (2004)
  13. Navarro CM, "Referral letters in oral medicine: standard versus non-standard letters", Int. J. Oral Maxillofac Surg, 31, pp.537~543 (2002)
  14. de Moor RJG, "Periapical health related to the quality of root canal treatment in a Belgian population", Int EndodJ, 33, pp.113~120 (2000)
  15. Kirkevang LL, "Frequency and distribution of endodontically treated teeth and periapical periodontitis in an urban Danish population", Int Endod J, 34, pp.198~205 (2001)
  16. Berlin V, "Treatment procedures and referral patterns of general dentists in Lithuania", Medicina (Kaunas), 51, pp.296~301 (2015)
  17. 이창형, "상급종합병원으로의 진료의뢰 및 진료의뢰 만족도에 영향을 미치는 요인 분석", Journal of The Korean Data Analysis Society, 19(6), pp.3287~3299 (2017), 한국자료분석학회[DOI]

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