PMID: 2508890Sep 16, 1989Paper

Referrals from general practice to hospital outpatient departments: a strategy for improvement

BMJ : British Medical Journal
J Emmanuel, N Walter

Abstract

To determine the appropriateness of referrals from general practice to hospital outpatient departments. Prospective audit of referrals from a group practice over one year. Six handed practice in a southern coastal town. All patients referred during the study period for whom a copy of the referral letter was available. The investigations carried out by the consultant that led to the diagnosis; the diagnosis reached; and the management. Of roughly 3000 patients referred during the year, 277 with various skin and soft tissue disorders could probably have been managed solely by the general practitioner. Referrals for cryotherapy (96 in this series) and diabetes (19) could probably also have been avoided by specialist training of the general practitioner. In addition, in cases of haematuria and prostatic hypertrophy (34 and 22 referrals) substantial time could have been saved for both the patient and the consultant had the general practitioner supplied the results of relevant investigations. Probably the most important outcome was the model that the study offered for other general practitioners to improve the appropriateness of referrals. This approach to determining the appropriateness of referrals benefits the general practitioner...Continue Reading

References

Feb 25, 1989·BMJ : British Medical Journal·A T Moore, M O Roland
Aug 13, 1988·BMJ : British Medical Journal·M MarinkerD H Metcalfe

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Citations

Jun 20, 2001·BJU International·K R Wylie, D Davies-South
Jul 14, 1990·BMJ : British Medical Journal·M O RolandE Paul
May 11, 1991·BMJ : British Medical Journal·M O RolandB Bewley
May 30, 1992·BMJ : British Medical Journal·C Collins
Jun 26, 1993·BMJ : British Medical Journal·C EmslieA Templeton
May 8, 1993·Quality in Health Care : QHC·G B TanJ Gabbay
Nov 21, 1998·Journal of General Internal Medicine·C T Grimm, A G Gomez
Mar 1, 1997·The British Journal of Surgery·A WaghornJ Thompson
Mar 1, 1996·The American Journal of Medicine·T C RosenthalJ Feather
Aug 5, 2011·Journal of Cardiovascular Disease Research·Sourabh AggarwalVishal Sharma
Nov 1, 1996·British Journal of Orthodontics·A A Parfitt, W P Rock
Sep 30, 2000·Clinical and Experimental Dermatology·V A HillC J Hart
Oct 28, 1989·BMJ : British Medical Journal·D J HoleV M Hawthorne
Nov 28, 2000·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·Y Linné, S Rössner

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