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Article: Appropriateness of hospital referral for hypertension

TitleAppropriateness of hospital referral for hypertension
Authors
Issue Date1990
Citation
British Medical Journal, 1990, v. 300 n. 6725, p. 646-648 How to Cite?
AbstractObjective: To examine the efficiency of referral to an outpatient clinic and particularly the differences between referrals from general practitioners practising in health centres and those from other general practitioners. Design: Retrospective audit of referral letters and case notes by comparison with externally set standards of appropriateness of referrals over two years. Setting: Outpatient hypertension clinic at Western Infirmary, Glasgow. Patients: 306 Consecutive new referrals of patients over two years (1 May 1986 to 30 April 1988), for whom case notes were available in 298. Main outcome measures: Congruence of referrals with each of two standards of appropriateness based on published opinion on specialist referral (standard 1 was stricter than standard 2) and completeness of referall letters. Results: Of the 298 referrals, those from general practitioners accounted for 205, from other hospital departmentS 68, and from other sources 25. Overall, 84 referrals of the 205 from general practice met the first standard AND 134 met the second, more lenient standard. 58 Referral letters from outside the hospital had some item missing. Referrals from general practitioners working in health centRes (a fifth of the total) were significantly more likely to meet both standards (P < 0.01) and to send a complete referral letter (p < 0.001) than the 145 referred by other general practitioners. Conclusions: According to the standards used, general practitioners in health centres made more appropriate referrals, and further investigation is needed to identify the underlying factors responsible.
Persistent Identifierhttp://hdl.handle.net/10722/151488
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorJuncosa, Sen_US
dc.contributor.authorJones, RBen_US
dc.contributor.authorMcghee, SMen_US
dc.date.accessioned2012-06-26T06:23:51Z-
dc.date.available2012-06-26T06:23:51Z-
dc.date.issued1990en_US
dc.identifier.citationBritish Medical Journal, 1990, v. 300 n. 6725, p. 646-648en_US
dc.identifier.issn0267-0623en_US
dc.identifier.urihttp://hdl.handle.net/10722/151488-
dc.description.abstractObjective: To examine the efficiency of referral to an outpatient clinic and particularly the differences between referrals from general practitioners practising in health centres and those from other general practitioners. Design: Retrospective audit of referral letters and case notes by comparison with externally set standards of appropriateness of referrals over two years. Setting: Outpatient hypertension clinic at Western Infirmary, Glasgow. Patients: 306 Consecutive new referrals of patients over two years (1 May 1986 to 30 April 1988), for whom case notes were available in 298. Main outcome measures: Congruence of referrals with each of two standards of appropriateness based on published opinion on specialist referral (standard 1 was stricter than standard 2) and completeness of referall letters. Results: Of the 298 referrals, those from general practitioners accounted for 205, from other hospital departmentS 68, and from other sources 25. Overall, 84 referrals of the 205 from general practice met the first standard AND 134 met the second, more lenient standard. 58 Referral letters from outside the hospital had some item missing. Referrals from general practitioners working in health centRes (a fifth of the total) were significantly more likely to meet both standards (P < 0.01) and to send a complete referral letter (p < 0.001) than the 145 referred by other general practitioners. Conclusions: According to the standards used, general practitioners in health centres made more appropriate referrals, and further investigation is needed to identify the underlying factors responsible.en_US
dc.languageengen_US
dc.relation.ispartofBritish Medical Journalen_US
dc.subject.meshAmbulatory Careen_US
dc.subject.meshFamily Practice - Standardsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHypertension - Therapyen_US
dc.subject.meshMaleen_US
dc.subject.meshMedical Auditen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOutpatient Clinics, Hospitalen_US
dc.subject.meshReferral And Consultationen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshScotlanden_US
dc.titleAppropriateness of hospital referral for hypertensionen_US
dc.typeArticleen_US
dc.identifier.emailMcGhee, SM:smmcghee@hkucc.hku.hken_US
dc.identifier.authorityMcGhee, SM=rp00393en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid2322704-
dc.identifier.scopuseid_2-s2.0-0025265268en_US
dc.identifier.volume300en_US
dc.identifier.issue6725en_US
dc.identifier.spage646en_US
dc.identifier.epage648en_US
dc.identifier.isiWOS:A1990CU39700024-
dc.identifier.scopusauthoridJuncosa, S=35580655400en_US
dc.identifier.scopusauthoridJones, RB=10042286500en_US
dc.identifier.scopusauthoridMcGhee, SM=7003288588en_US

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