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Referral patterns for endocrine surgical disease.

Ixel Cervera1, Laura Boucai2, Panagiota Andreopoulou3

  • 1Deparment of Surgery, Montefiore Medical Center, Bronx, New York.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
|January 23, 2014
PubMed
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Endocrinologists prioritize surgeon experience, outcomes, and familiarity when referring patients for endocrine surgery. Promoting referrals to high-volume surgeons requires clear communication and patient satisfaction.

Area of Science:

  • Endocrinology
  • Surgical Referral Patterns
  • Health Services Research

Background:

  • Physician referrals between specialties are common, with established patterns.
  • The rise of specialized endocrine surgeons may influence these referral dynamics.

Purpose of the Study:

  • To investigate factors influencing endocrinologists' referral patterns for endocrine surgery.
  • To understand what drives decisions for surgical referrals in endocrine disease.

Main Methods:

  • A national survey of American Association of Clinical Endocrinologists members was conducted.
  • The survey assessed physician demographics, opinions on endocrine surgery referrals, and preferred surgeon characteristics.

Main Results:

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  • Most endocrinologists (91.8%) believe they should direct surgical referrals.
  • Key referral factors include surgeon outcomes, complications, familiarity, communication, and surgical volume.
  • Patient satisfaction, complication rates, and surgeon volume were most likely to alter referral patterns.

    • Conclusions:

    • Referring physicians seek experienced endocrine surgeons with high volume and good outcomes.
    • Effective communication, positive outcomes, and patient satisfaction are crucial for promoting referrals to specialized surgeons.