PMID: 2497824Apr 1, 1989Paper

Self referral to an accident and emergency department for another opinion

BMJ : British Medical Journal
C S Jones, A McGowan

Abstract

To determine whether patients referring themselves to an accident and emergency department for another opinion after consulting their general practitioner present with serious illness, show any risk factors for being admitted, or are more likely to be patients of particular practitioners. Six month prospective survey. District general hospital's accident and emergency department, receiving 42,000 new patients a year. 180 Patients identified as attending for another opinion having already consulted a general practitioner. Classified as admission, referral to specialist clinic, follow up in accident and emergency department, or referral back to general practitioner. Admission, with an analysis of admitted patients. General outcome, diagnostic category, age, time of attendance, time since seen by general practitioner, and name of general practitioner were recorded. Forty seven patients were admitted, 99 were discharged back to the general practitioner (62 without a letter), and two died. Patients were most likely to be admitted if they attended within 24 hours after seeing a general practitioner, were aged under 5, or presented with respiratory or gastrointestinal complaints. Some general practitioners were overrepresented. Import...Continue Reading

References

Aug 1, 1987·Journal of the Royal Society of Health·D W Yates
Aug 13, 1988·BMJ : British Medical Journal·M Roland
Aug 13, 1988·BMJ : British Medical Journal·M MarinkerD H Metcalfe

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Citations

Apr 29, 1989·BMJ : British Medical Journal·J Dale, J Green
Jun 29, 1991·BMJ : British Medical Journal·S Iliffe, U Haug
Jun 1, 1990·Archives of Emergency Medicine·M Carew-McColl
Sep 1, 1991·Archives of Emergency Medicine·F O'Dwyer, G G Bodiwala
Jul 1, 1997·Accident and Emergency Nursing·K Togi
Aug 1, 1992·International Journal of Nursing Studies·S ReadT Potter

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