What proportion of paediatric specialist referrals originates from general practitioners?

Kunin, Marina; Turbitt, Erin; Gafforini, Sarah; Sanci, Lena; Spike, Neil; Freed, Gary L.

doi:10.1111/jpc.13694

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…While previous australian research found the proportion of referrals from general paediatricians and hospital discharge is considerable, GPs are still the most common referral source for paediatric specialist care. 5 Whereas in some health systems (eg New Zealand), patients referred to the publicly funded clinics first undergo triage where a specialist decides whether specialist assessment is required, in australia, all eligible-formedicare-benefits referrals are accepted. 2,6 There are multiple factors that may influence the decision of a GP to refer a patient to a specialist.…”

Section: Introductionmentioning

confidence: 99%

General practitioner referrals to paediatric specialist outpatient clinics: referral goals and parental influence

et al. 2018

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INTRODUCTION Previous research on general practitioner (GP) referrals in adult populations demonstrated that patient pressure influenced referral practice. No research has been conducted to investigate how involvement of a parent influences paediatric referrals. AIM To investigate whether GPs who report parental influence on their decision to refer paediatric patients differ in their referral patterns from GPs who do not report parental influence. METHOD A mail survey of 400 GPs who had referred at least two children to paediatric specialist outpatient clinics during 2014 was distributed. RESULTS The response rate was 67% (n = 254). For initial referrals, 27% of GPs stated that parental request frequently or almost always influenced their referral decision. For returning referrals, 63% of GPs experienced parental influence to renew a referral because a paediatrician wanted a child to return; 49% of GPs experienced influence to renew a referral because a parent wanted to continue care with a paediatrician. Experiencing parental influence was associated with increased likelihood for frequent referrals in order for a paediatrician to take over management of a child's condition. DISCUSSION GPs who frequently refer with a goal for a paediatrician to take over management of a child's condition also report that parental request almost always influences their decision to refer.

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Section: Introductionmentioning

confidence: 99%

General practitioner referrals to paediatric specialist outpatient clinics: referral goals and parental influence

et al. 2018

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“…1 General practitioners (GPs) provide primary healthcare in Australia and are the predominant referral source for paediatric subspecialty clinics. 2 Childhood gastrointestinal problems are common and likely to be encountered in primary healthcare. Concern has been raised that GP trainees may have limited exposure to a range of paediatric conditions, particularly chronic illness in children, which may have an impact on their practice, including their outpatient referral patterns.…”

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The challenge of outpatient clinical triage in paediatric gastroenterology: Who is referred and what is needed?

McGrath

Alex

2019

Aust J Gen Pract

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Demand for paediatric outpatient subspecialty clinics is increasing. Clinical triage has an important role in workflow and ensuring patients are seen in a timely manner, appropriate to their clinical need. Clinicians who triage referrals rely on provision of adequate clinical information and relevant investigations. Referrals to a paediatric gastroenterology outpatient service in a large tertiary hospital were audited prospectively to determine appropriateness of clinical information and investigations provided, and to identify gastrointestinal conditions where general practitioners may benefit from targeted education. To the authors' knowledge, this is the first study assessing challenges of clinical triage in Australian paediatric subspecialty outpatient services.

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Zijn huisarts en kinderarts het eens over verwijzingen?

et al. 2021

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What proportion of paediatric specialist referrals originates from general practitioners?

Abstract: Only half of the referrals of new patients to paediatric specialist outpatient clinics come from GPs. Future research should investigate whether multiple referral sources have a negative impact on the co-ordination and cost of paediatric health care.

Cited by 3 publications

References 9 publications

General practitioner referrals to paediatric specialist outpatient clinics: referral goals and parental influence

General practitioner referrals to paediatric specialist outpatient clinics: referral goals and parental influence

The challenge of outpatient clinical triage in paediatric gastroenterology: Who is referred and what is needed?

Zijn huisarts en kinderarts het eens over verwijzingen?

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