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. 2022 May 3;23:104. doi: 10.1186/s12875-022-01714-x

Table 3.

Challenges experienced in the interdisciplinary relationship, GPs. Question: A variety of challenges may arise when general practitioners and district specialists for outpatients collaborate on diagnosing cirrhosis. How often have you experienced the following challenges? (N = 2.701, GPs)

Statement Frequently Occasionally Rarely Never No response
Resident gastroenterologists are fully booked long-term due to the many gastroduodenoscopy and colonoscopy tests they are required to perform. 69% 21% 6% 3% 1%
District specialists do not have the time to discuss mostly complex patient problems with you. 41% 39% 10% 8% 2%
There are too few nearby specialist internal medicine practices to diagnose liver counts the way I would like. 37% 36% 11% 15% 1%
Specialists do not brief patients enough, who then go back to general practitioners out of uncertainty. 30% 42% 13% 13% 2%
Gastroenterological district specialists are difficult for patients to reach. 35% 34% 16% 14% 1%
Specialists do not issue direct referrals to a liver centre on suspicion of cirrhosis, so patients come back to their general practitioners for the time being (going around in circles with time wasted). 23% 40% 20% 16% 1%
District specialists are booked out for too long, so I refer my patients straight to a specialist clinic. 21% 35% 19% 23% 2%
I have to wait for a long time for district specialists to pass on their findings. 19% 33% 20% 27% 1%
District specialists do not inform general practitioners enough about the tests they have conducted or the results and/or diagnoses they have made. 17% 35% 24% 23% 1%