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Referrals and relationships in Sri Lankan general practice.

M Varnam1

  • 1Littlewick Medical Centre, Ilkeston, England.

Family Practice
|March 1, 1989
PubMed
Summary
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This study investigated referral patterns among general practitioners (GPs) in Sri Lanka. Findings highlight communication gaps and suggest improvements for better GP collaboration and patient care.

Area of Science:

  • Health Sciences
  • Medical Practice
  • Public Health

Background:

  • General practitioners (GPs) in Sri Lanka face challenges in referral processes.
  • Effective communication between GPs and secondary care is crucial for patient management.

Purpose of the Study:

  • To analyze referral patterns and communication frequency between GPs and other healthcare providers in Sri Lanka.
  • To identify factors influencing the perceived value of interprofessional communication.
  • To propose strategies for enhancing the referral system and professional relationships.

Main Methods:

  • A detailed questionnaire survey was administered to 347 general practitioners from professional bodies in Sri Lanka.
  • A follow-up questionnaire was sent to 123 responders two months later to gather further data.

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  • Data collected included referral numbers, contact occurrences, and perceived value of communication.

    • Main Results:

    • A significant proportion of referrals to and from GPs lacked any form of contact.
    • 20% of referrals to secondary care services also reported no contact.
    • The frequency and perceived value of interprofessional contacts were documented.

    Conclusions:

    • Communication breakdowns exist within the Sri Lankan GP referral system.
    • Improving communication channels and perceived value of contact is essential for GPs.
    • Recommendations are discussed to enhance referral patterns and interprofessional relationships among Sri Lankan GPs.