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Consultation-referral among physicians: practice and process.

T C Saunders

    The Journal of Family Practice
    |June 1, 1978
    PubMed
    Summary
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    Consultation-referral processes in family practice are complex and often fall short of expectations for physicians and patients. This study presents a model to improve these referral practices for better patient care.

    Area of Science:

    • Family Medicine
    • Healthcare Management
    • Medical Education

    Background:

    • Consultation-referral is a routine yet complex aspect of family practice.
    • Current referral practices frequently do not meet the expectations of referring physicians, consultants, or patients.
    • Discrepancies in the consultation-referral process can negatively impact patient outcomes.

    Purpose of the Study:

    • To analyze the complexities of the consultation-referral process in family medicine.
    • To identify areas where the consultation-referral process fails to meet stakeholder expectations.
    • To develop a model for improving consultation-referral practices.

    Main Methods:

    • Review of existing studies on consultation-referral practices.
    • Analysis of the consultation-referral phenomenon within family practice.

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  • Elaboration of a conceptual model for the consultation-referral process.

    • Main Results:

    • The consultation-referral process is often suboptimal, leading to unmet expectations.
    • Evidence suggests significant room for improvement in how referrals are managed.
    • A comprehensive model for understanding and improving the process has been developed.

    Conclusions:

    • The consultation-referral process requires careful attention to optimize outcomes.
    • The proposed model can serve as an educational tool for medical trainees.
    • Practicing physicians can utilize the model to enhance their own consultation-referral strategies and improve patient care.