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Related Experiment Videos

[Pediatric consultations at the second-opinion level]

M del Real Llorente1, M Curto Polo, J A Otero Rodríguez

  • 1Centro de Salud Casto Prieto, Salamanca.

Atencion Primaria
|April 15, 1995
PubMed
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This study analyzed pediatric inter-consultations, finding ophthalmology referrals most common. Establishing better information feedback channels is crucial for improving pediatric care coordination.

Area of Science:

  • Pediatric healthcare
  • Health information systems
  • Referral management

Background:

  • Outpatient pediatric clinics manage numerous inter-consultations with second-level specialists.
  • Effective information systems are vital for reliable referral data and patient care.
  • Understanding referral patterns by specialty and age is key to optimizing pediatric services.

Purpose of the Study:

  • To evaluate the reliability of the information system used for pediatric inter-consultations.
  • To characterize referred patients and analyze referral patterns across different pediatric specialties.
  • To identify the most frequent reasons for seeking second-level pediatric opinions.

Main Methods:

  • A descriptive study was conducted in an urban health center.

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  • Data included all children referred for second-level opinions during 1993.
  • Analysis focused on referral reasons, patient demographics, and specialty distribution.

    • Main Results:

    • 493 children were referred, with a mean age of 7.5 years.
    • Ophthalmology accounted for 45.4% of referrals, followed by traumatology, dermatology, ENT, and allergy (87.8% combined).
    • Common reasons included refractive errors (ophthalmology), hip/foot disorders (traumatology), skin conditions (dermatology), ear infections (ENT), and allergic rhinitis (allergy).

    Conclusions:

    • Referral rates vary significantly by age group, with ophthalmology and traumatology being most common for older children.
    • A significant proportion of referrals (over 50%) were for ophthalmology, primarily due to refractive errors.
    • Improved internal communication channels are needed to ensure feedback from second-level consultations is returned to the primary care setting.