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Changing Referral Patterns to Urogynecology.

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Referral patterns for pelvic floor disorders are shifting. Primary care providers (PCPs) and self-referrals are increasing faster than obstetrician/gynecologist (OB/GYN) referrals to urogynecology specialists.

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Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders
  • Healthcare Referral Patterns

Background:

  • Pelvic floor disorders (PFDs) represent a significant women's health concern.
  • Understanding referral trends is crucial for optimizing specialist access and patient care.

Purpose of the Study:

  • To analyze changes in referral sources for new patients with PFDs.
  • To identify demographic and diagnostic factors influencing referral patterns.

Main Methods:

  • Retrospective review of 5,799 new urogynecology patient visits from 2010-2015.
  • Data abstraction included demographics, referral source, and diagnoses (ICD-9 codes).
  • Statistical analysis to compare referral trends and diagnostic associations.

Main Results:

  • Overall new patient visits increased by 280% over six years.
  • Self-referrals and primary care provider (PCP) referrals saw substantial increases (480% and 320%, respectively).
  • Obstetrician/gynecologist (OB/GYN) referrals increased by 229%; PCPs more frequently referred for urgency and UTIs, while OB/GYNs referred for prolapse and stress incontinence.

Conclusions:

  • Demand for urogynecology services is rapidly growing.
  • PCP and self-referrals are increasingly important pathways to specialist care, outpacing traditional OB/GYN referrals.