关键词: 初级卫生保健, 病人转诊, 信息系统, 分级诊疗制度, 英国

Abstract: National Health Service（NHS）includes both primary health care system and hospital system.The referral letter is a means of communication between general practitioners and specialists，and the information contained therein has an impact on improving the quality and efficiency of the referral.Studying the information in the referral letter will help to provide advice for hierarchical medical service system in China.This paper systematically evaluated the relevant literatures by retrieving the guidelines and norms given by relevant organizations and drew the key indicators to form policy analysis and recommendations.The results showed that the indicators for quality control of the referral letter were mainly composed of the indicators in referral guidelines made by the National Institute for Health and Care Excellence（NICE）and the key performance indicators made by the NHS Clinical Commissioning Groups（CCG）．In England while patients were generally satisfied with the current referral service，there was still room for improvement in terms of referral options，referral expectations，referral time，and diagnosis.These findings suggested that to improve the quality of referral required standardizing the referral medical behaviours，fully enhancing the role of medical informatization in the referral，establishing a close relationship between family doctors and specialists，and introducing non-public health technicians as family doctor assistants.

Key words: Primary health care, Patient transfer, Information systems, Hierarchical medical service system, England