Assessment of Multiple-Opinion Referrals and Consults at the BC Children’s Hospital Allergy Clinic

Abstract

Background: Allergic disease is on the rise. Waitlists for specialists are long, and many referrals have already received prior allergic assessment. It is important to understand the prevalence and motivating factors for second opinion referrals, to deliver timely assessment for patients with allergic disease. Methods:A retrospective chart review of demographic information, referral patterns, and motivation for new consults of pediatric patients aged 8 months – 17 years to BC Children’s Hospital Allergy Clinic from September 1, 2016 – August 31, 2017, was performed. Data were accessed through local Electronic Medical Records and subsequently analyzed for frequency and motivation for referrals to our clinic. Results: Of 1029 new referrals received, 210 (20.4%) were multiple-opinion referrals. Food allergy was the predominant allergic concern prompting another opinion (75.7%). The main rationale for seeking further opinions was looking to speak with a certified Allergist, or dissatisfaction with previous opinions. Conclusions: Many new consults at the BCCH Allergy Clinic are multiple-opinion assessments, contributing to long waitlists and poor patient satisfaction. Advocacy at the systems level is needed to provide better access in Canada for children needing a specialized Allergist. Trial Registration - UBC/BCCH Research Ethics Board (H18-02528)