Referring patients to specialists: a structured vignette survey of Australian and British GPs

BMC Family Practice
Moyez JiwaBrigitte Colwell

Abstract

In Australia and in the United Kingdom (UK) access to specialists is sanctioned by General Practitioners (GPs). It is important to understand how practitioners determine which patients warrant referral. A self-administered structured vignette postal survey of General Practitioners in Western Australia and the United Kingdom. Sixty-four vignettes describing patients with colorectal symptoms were constructed encompassing six clinical details. Nine vignettes, chosen at random, were presented to each individual. Respondents were asked if they would refer the patient to a specialist and how urgently. Logistic regression and parametric tests were used to analyse the data We received 260 completed questionnaires. 58% of 'cancer vignettes' were selected for 'urgent' referral. 1632/2367 or 69% of all vignettes were selected for referral. After adjusting for clustering the model suggests that 38.4% of the variability is explained by all the clinical variables as well as the age and experience of the respondents. 1012 or 42.8 % of vignettes were referred 'urgently'. After adjusting for clustering the data suggests that 31.3 % of the variability is explained by the model. The age of the respondents, the location of the practice and all the...Continue Reading

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Citations

Apr 8, 2009·Critical Reviews in Oncology/hematology·Jean-Emmanuel KurtzPatrick Dufour
Mar 19, 2014·Journal of Evaluation in Clinical Practice·Deepa SriramMoyez Jiwa
Jan 18, 2014·The Lancet Oncology·Jonathan BanksWillie Hamilton
Oct 24, 2013·Health Communication·Ann DadichDavid Bennett
Oct 13, 2017·Journal of the American Medical Informatics Association : JAMIA·Tiffany C VeinotJulie C Lowery
Nov 24, 2011·The Medical Journal of Australia·Shanthi A RamanathanRussell J Redford

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