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Related Experiment Videos

Differences in referral rates from general practice.

B Christensen1, H T Sørensen, C E Mabeck

  • 1Institute of General Practice, University of Aarhus, Denmark.

Family Practice
|March 1, 1989
PubMed
Summary
This summary is machine-generated.

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General practitioner referral rates to specialists are influenced by specialist access and consultation frequency. Increased patient numbers correlate with lower referral rates, while other factors showed no significant impact.

Area of Science:

  • General Practice
  • Health Services Research
  • Medical Referrals

Background:

  • Significant unexplained variations exist in general practitioner (GP) referral rates to medical specialists.
  • Understanding factors influencing these referral patterns is crucial for healthcare resource allocation and patient care optimization.

Purpose of the Study:

  • To investigate the relationship between GP referral indices and several practice-level variables.
  • To identify key determinants of referral rates in a Danish primary care setting.

Main Methods:

  • A cross-sectional study analyzing 17,586 referrals from 141 GPs in Ringkjøbing county, Denmark.
  • Calculation of a referral index (referrals per 1000 patients/year, age/sex standardized).
  • Stepwise multiple regression analysis to evaluate six variables: specialist access, doctors per practice, consultations per GP, registered patients, consultations per 1000 patients, and supplementary procedures per consultation.

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Main Results:

  • The referral index increased with better local specialist access and higher GP consultation frequency per year.
  • A higher number of registered patients per GP was associated with a lower referral index.
  • No significant correlation was found between referral index and doctors per practice, consultations per 1000 patients, or supplementary procedures per consultation.

Conclusions:

  • GP referral behavior is influenced by specialist availability and practitioner workload.
  • Patient volume appears to be a significant factor in modulating referral rates.
  • Further research could explore other potential factors influencing referral variations.