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Korean J Fam Med > Volume 30(12); 2009 > Article
Korean Journal of Family Medicine 2009;30(12):951-961.
DOI: https://doi.org/10.4082/kjfm.2009.30.12.951    Published online December 20, 2009.
Factors Contributing Patients' 'Self Requested Referral' in University Hospital Family Medicine Clinic.
Hyun Jung Choi, Jun Su Kim, Ji Yeon Jung, Ka Young Lee, Tae Jin Park
Deptartment of Family Medicine, Inje University College of Medicine, Pusan Paik Hospital, Busan, Korea. hippoid@hanmail.net
일개 대학병원 가정의학과에 '자가의뢰'만을 목적으로 온 초진 환자의 특성
최현정, 김준수, 정지연, 이가영, 박태진
인제대학교 의과대학 부산백병원 가정의학교실
After the referral system had been established, a tendency of patients who prefer to consult themselves to a specialist with 'self requested referral' is increasing in university hospital family medicine clinics. This study was conducted to know which factors of patients who for the fi rst time visited university hospital family medicine clinic to require medical request for 'self requested referral' to a specialist infl uence 'self requested referral' tendency. Methods: Among 905 patients, 647 agreed to the questionnaire were included in this study. We divided the patients in two, the 'self requested referral' group and the 'general patients' group that does not. Patients completed a four-item, selfadministered questionnaire. Results: 'Self requested referral' group tended to have no experience in family medicine and tended to be negative about the need for family medicine (P < 0.001) The factors that have effect on 'self requested referral' are age, occupation, education, experience of family medicine, and recognition degree of necessity of family medicine. Patients in 20-39 of age, who were white colored, higher education had higher tendency of 'self requested referral' and patients who had no experience in family medicine and lower degree of recognition about the necessity of family medicine had higher tendency of 'self-referral'. Conclusion: It is necessary to fi nd ways to increase satisfaction of patients who have factors that have effect on their 'self requested referral' tendency such as age, occupation, education, experience of family medicine, and degree of recognition about the necessity of family medicine.
Key Words: Referral; Self-referral; Patients; Family Medicine; Recognition


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