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Reason for referrals among military primary care physicians
1Israel Defence Forces-Medical Corps.
Military Medicine
|August 1, 1992
Summary
Physician confidence impacts referral rates in military primary care. Israeli medical graduates, potentially better suited for specialized settings, showed less confidence in ambulatory care, influencing patient referrals.
Area of Science:
- Military Medicine
- Primary Care
- Medical Education
Background:
- High referral rates to secondary care in the Israel Defence Force-Medical Corps warrant investigation.
- Understanding factors influencing physician referral decisions is crucial for optimizing healthcare resource allocation.
Purpose of the Study:
- To identify the reasons behind elevated referral rates from primary care to secondary medical care services within the Israel Defence Force-Medical Corps.
- To explore the role of physician-specific factors in the referral process.
Main Methods:
- A study involving 28 physicians across five primary care clinics.
- Analysis of referral reasons for 737 patients referred to specialists, using physician-completed questionnaires.
Main Results:
- Physician-related factors significantly influence referral decisions.
- Israeli medical graduates demonstrated lower confidence in primary care compared to their international peers.
- A potential explanation is the advanced training of Israeli graduates for sophisticated medical environments over ambulatory settings.
Conclusions:
- Physician confidence and training background are key determinants of referral patterns in military primary care.
- The findings suggest a need to re-evaluate medical training and support for primary care physicians in military settings.
- Addressing physician confidence may help optimize secondary care referrals and improve primary care efficiency.
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