open access
메뉴ISSN : 0376-4672
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.
1. The Korean Academy of Family Medicine: Textbook of family medicine. Seoul: Hankook book; 2008.
2. Geyman JP, Brown TC, Rivers K. Referrals in family practice: A comparative study by geographic region and practice setting. J Fam Pract 1976; 3:163-167
3. Wu C, Kao J, Chung C. Analysis of outpatient referral failures. J Fam Pract 1996; 42:498-502
4. Reichman M. Optimizing referrals & consults with a standardized process. Fam Pract Manag 2007; 14:38-42
5. American Association of Endodontists. AAE Endodontic case difficulty assessment form and guidelines. Available from: http://www.aae.org/uploadedfiles/dental_professionals/endodontic_case_assessment/2006casedifficultyassessmentformb_edited2010.pdf(updated 2013 Oct 31)
6. Kim S. Prevalence of referral reasons and clinical symptoms for endodontic referrals. Restor Dent Endod 2014; 39:210-214
7. 최민규,김세중,노용균.일개대학병원으로의뢰된환자의진료의뢰서분석.의료커뮤니케이션 2012; 7:87-93
8. 유순규, 김광한, 조혜경. 응급의료센터로 전원된 환자의 진료의뢰서 표준화 및 충실도에 관한 연구.한국응급구조학회지 2001; 5:177-198.
9. 고영한, 백병주, 김재곤. 최근8년간전북대학교치과병원소아치과에내원한 초진환자에 관한 실태조사. 대한소아치과학회지 2007; 34:292~298
10. 류현섭, 김효석, 이창섭. 최근 10년간 조선대학교 치과병원 소아치과에 내원한 신환에 관한 역학적 연구. 대한소아치과학회지 2001; 28:345-353
11. 김동일, 김해준, 윤석준, 문영배. 개원의의 진료의뢰 시 기대요인 및 만족도에 관한 연구- 협력병원체제 여부를 중심으로. 한국의료질향상학회지 2002; 9:198-208
12. Djemal S, Chia M, Ubaya-Narayange T. Quality improvement of referrals to a department of restorative dentistry following the use of a referral proforma by referring dental practitioners..Br Dent J. 2004; 197:85-88
13. Navarro CM, Miranda, AN Onofre MA, Sposto MR. Referral letters in oral medicine: standard versus non-standard letters. Int. J. Oral Maxillofac Surg 2002; 31:537-543
14. de Moor RJG, Hommez GMG, De Boever JG, Delme KIM, Martens GEI. Periapical health related to the quality of root canal treatment in a Belgian population. Int EndodJ2000; 33:113-20
15. Kirkevang LL, Orstavik D, Horsted-Bindslev P, Wenzel A. Frequency and distribution of endodontically treated teeth and periapical periodontitis in an urban Danish population. Int Endod J 2001; 34:198-205
16. Berlin V, Puriene A, Peciuliene V, Aleksejuniene J. Treatment procedures and referral patterns of general dentists in Lithuania.Medicina (Kaunas) 2015; 51:296-301
17. Lee CH, Cho IS, Kim MJ, Kim YJ. Analysis of influencing factors on the decision and satisfaction of referrals from outpatient clinics to superior general hospital. J Kor Data Anal Soc 2017; 19:3287-3299