Study of referral process between general practitioners and specialists in health insurance clinics in Alexandria.
J Egypt Public Health Assoc
; 69(1-2): 89-113, 1994.
Article
en En
| MEDLINE
| ID: mdl-7775897
The present study was designed to investigate the reasons for which patients are referred by G.Ps to G.M. specialists, and to assess the extent to which referred cases need specialist care. The study sample included specialists of general medicine working at 4 of the H.I.O. polyclinics and all G.Ps who referred cases that were considered as inappropriate referrals by the study specialists, as well as 20% of Patients referred to G.M. specialists by G.Ps. were systematically randomly selected during a period of 10 consecutive days. The results indicated that the rate of inappropriate referral to G.M. specialists was high, the rate of discrepancy between G.P. and specialist diagnoses was generally high, there was a high discrepancy between G.Ps and specialists regarding the reason for inappropriate referral, and there was poor communication from the lower (G.P.) to the higher (specialists) levels in the referral process. Reasons for referral to specialists were not recorded by G.Ps in 100% of cases. To overcome these problems H.I.O. should place special emphasis on the professional training and continuing education of G.Ps, with special attention to the few common conditions that were responsible for the greater proportion of referral problems. At the same time, H.I.O. should strengthen the technical and administrative control over G.P. referral behavior.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Médicos de Familia
/
Derivación y Consulta
/
Competencia Clínica
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
País/Región como asunto:
Africa
Idioma:
En
Revista:
J Egypt Public Health Assoc
Año:
1994
Tipo del documento:
Article
Pais de publicación:
Estados Unidos