Abstract
OBJECTIVE--To investigate the relation between general practitioners' referral rates to individual specialties and the individual areas of expertise of the referring doctors. DESIGN--Data collected on referral patterns in one group practice over nine months. SETTING--General practice in suburban Birmingham consisting of five partners and a trainee. RESULTS--In 395 referrals there were large differences in referral patterns among partners for otorhinolaryngology, ophthalmology, general surgery, and dermatology. The doctors with particular expertise in otorhinolaryngology and ophthalmology had high referral rates to those specialties, and these differences persisted after allowing for case mix. CONCLUSION--A high referral rate does not necessarily imply a high level of inappropriate referral.
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Selected References
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- Coulter A., Noone A., Goldacre M. General practitioners' referrals to specialist outpatient clinics. I. Why general practitioners refer patients to specialist outpatient clinics. BMJ. 1989 Jul 29;299(6694):304–306. doi: 10.1136/bmj.299.6694.304. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coulter A., Seagroatt V., McPherson K. Relation between general practices' outpatient referral rates and rates of elective admission to hospital. BMJ. 1990 Aug 4;301(6746):273–276. doi: 10.1136/bmj.301.6746.273. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Evans E. O., McBride K. Hospital usage by a group practice. A trainer-trainee study. J R Coll Gen Pract. 1968 Oct;16(4):294–306. [PMC free article] [PubMed] [Google Scholar]
- Knottnerus J. A., Joosten J., Daams J. Comparing the quality of referrals of general practitioners with high and average referral rates: an independent panel review. Br J Gen Pract. 1990 May;40(334):178–181. [PMC free article] [PubMed] [Google Scholar]
- McPherson K., Wennberg J. E., Hovind O. B., Clifford P. Small-area variations in the use of common surgical procedures: an international comparison of New England, England, and Norway. N Engl J Med. 1982 Nov 18;307(21):1310–1314. doi: 10.1056/NEJM198211183072104. [DOI] [PubMed] [Google Scholar]
- Morrell D. C., Gage H. G., Robinson N. A. Referral to hospital by general practitioners. J R Coll Gen Pract. 1971 Feb;21(103):77–85. [PMC free article] [PubMed] [Google Scholar]
- Roland M. O., Bartholomew J., Morrell D. C., McDermott A., Paul E. Understanding hospital referral rates: a user's guide. BMJ. 1990 Jul 14;301(6743):98–102. doi: 10.1136/bmj.301.6743.98. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilkin D., Smith A. Explaining variation in general practitioner referrals to hospital. Fam Pract. 1987 Sep;4(3):160–169. doi: 10.1093/fampra/4.3.160. [DOI] [PubMed] [Google Scholar]