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Related Experiment Videos

Consultant physician to outpatients.

J W Todd

    British Medical Journal
    |February 18, 1978
    PubMed
    Summary

    A significant portion of patients referred to specialists have underlying psychological or emotional issues. Many medical issues are best managed by general practitioners (GPs), reducing the need for specialists.

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    Area of Science:

    • General Practice and Primary Care
    • Psychosomatic Medicine

    Background:

    • Analysis of 450 outpatient records revealed a high prevalence of psychological and emotional factors in patient presentations.
    • Many medical conditions referred to specialists have underlying psychosomatic components.

    Purpose of the Study:

    • To evaluate the role of psychological factors in outpatient referrals.
    • To assess the optimal management of medical problems within primary care versus specialist settings.
    • To determine the impact of generalist physicians on healthcare resource utilization.

    Main Methods:

    • Retrospective analysis of 450 outpatient referral records.
    • Categorization of patient disorders based on primary cause (psychological, emotional, or other).
    • Assessment of the diagnostic and therapeutic roles of general practitioners (GPs) and specialists.

    Main Results:

    • At least one in three patients exhibited a primary psychological disorder.
    • A large emotional component was present in many other patients.
    • Most medical problems were deemed best managed by GPs, with specialists infrequently providing precise diagnoses for complex cases.

    Conclusions:

    • General practitioners are crucial for managing the majority of medical problems, including those with psychological underpinnings.
    • The role of specialists should be reserved for complex cases, with emphasis on patient reassurance and explanation.
    • Improved distribution of high-quality GPs with adequate support could reduce the demand for both general and specialist physicians.

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