Evaluation of a new referral system for the management of dyspepsia in Hong Kong: role of open-access upper endoscopy.

摘要: Background: In the management of dyspepsia, upper endoscopy is an important component. our locality, patients requiring are conventionally referred to specialist clinics by family physicians. We have introduced first open-access service in Hong Kong, which has allowed physicians arrange without prior consultation. A study on outcome contrast with conventional referral system was conducted. Methods: For presenting region were given option directly Medical Endoscopy Unit addition clinics. The results compared those from clinic. detailed prospective follow up performed June September 1997 evaluate and impact endoscopy. Results: From November 1996 1999, 978 referrals for received. significantly reduced waiting time procedure 16 weeks. Open-access had similar detection rates peptic ulcers cancers Seventy-five percent did not require further consultation their within 2 months after endoscopy. It a safe effective establishing definitive diagnosis. All satisfied service. Conclusions: This Asian report this service. patient perspective, decreased subsequent consultations as well increased doctor satisfaction. Both systems terms diagnostic yield.