Does clinical assistant experience in ENT influence general practitioner referral rates to hospital?

Bhalla, Rajiv; Unwin, Danielle; Jones, Terry M.; Lesser, T. H. J.

doi:10.1258/00222150260171542

Cited by 8 publications

(8 citation statements)

References 3 publications

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“…The GP education intervention group included peer review and feedback (n = 4), [10][11][12][13] interventions which consisted of formal GP training (including continued professional development) (n = 17), [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] additional formal training and support for practitioners). The overall picture for interventions that aim to moderate referral processes by educating GPs is mixed, but some groups of interventions with more positive outcomes have been identified, including in particular peer review and feedback interventions (positive effects on referral, expenditure, and referral letter quality), as well as some elements of formal GP training (positive effects on referral rate, appropriate referrals, GP knowledge, consultation quality, and patient waiting time).…”

Section: Box 1 Main Search Strategymentioning

confidence: 99%

Referral interventions from primary to specialist care: a systematic review of international evidence

et al. 2014

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BackgroundDemand management defines any method used to monitor, direct, or regulate patient referrals. Strategies have been developed to manage the referral of patients to secondary care, with interventions that target primary care, specialist services, or infrastructure. AimTo review the international evidence on interventions to manage referral from primary to specialist care. Design and settingSystematic review. MethodIterative, systematic searches of published and unpublished sources public health, health management, management, and grey literature databases from health care and other industries were undertaken to identify recent, relevant studies. A narrative synthesis of the data was completed to structure the evidence into groups of similar interventions. ResultsThe searches generated 8327 unique results, of which 140 studies were included. Interventions were grouped into four intervention categories: GP education (n = 50); process change (n = 49); system change (n = 38); and patient-focused (n = 3). It is clear that there is no 'magic bullet' to managing demand for secondary care services: although some groups of interventions may have greater potential for development, given the existing evidence that they can be effective in specific contexts.

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Section: Box 1 Main Search Strategymentioning

confidence: 99%

Referral interventions from primary to specialist care: a systematic review of international evidence

et al. 2014

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“…For example, referral rates to ENT services are higher amongst general practitioners with less training in ENT. 12 The UK has the lowest ratio of ENT specialists to inhabitants (1:103 000), falling behind countries such as Bulgaria (1:14 000) and Poland (1:25 000). 13 Outside of the EU, the UK is out-performed by Canada (1:50 000), the USA (1:25 000) and Russia (1:28 000).…”

Section: Introductionmentioning

confidence: 99%

“…For example, referral rates to ENT services are higher amongst general practitioners with less training in ENT. 12…”

Section: Introductionmentioning

confidence: 99%

ENT training amongst general practitioners: results from a questionnaire

et al. 2020

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ObjectivesTo evaluate the level of undergraduate and post-graduate ENT exposure amongst general practitioners and their perceived quality of this training. A secondary aim was to examine whether general practitioners believe ENT department based rotations should remain in the undergraduate curriculum.MethodAn online questionnaire-based survey was sent to general practices in England.ResultsA total of 417 general practitioners completed the questionnaire. Sixty-seven per cent had completed an ENT rotation at medical school whereas 27 per cent had undertaken a postgraduate placement in ENT. Fifty-one per cent had received post-graduate teaching in ENT, mainly in the form of lectures. The majority of general practitioners were not satisfied with their training in ENT at undergraduate and post-graduate levels. Eighty-five per cent of general practitioners believed formal hospital-based ENT training should remain in the undergraduate curriculum.ConclusionGeneral practitioners reported insufficient exposure to ENT during both post-graduate and undergraduate training. Proposals to outsource undergraduate ENT teaching to affiliated departments such as general practice are of concern.

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“…4 Postgraduate training in ENT is received by less than half of GPs and, when asked, most GPs state that they would welcome further training in the specialty. 6 The aim of this study was to establish the current level of ENT training and experience amongst GPs in south-west England and to assess the perceived adequacy of this training. 6 The aim of this study was to establish the current level of ENT training and experience amongst GPs in south-west England and to assess the perceived adequacy of this training.…”

Section: Introductionmentioning

confidence: 99%

“…5 The effect of this variability and inadequacy of GP training in ENT is unclear, and the impact on referral rates to hospital specialist clinics is unknown. 6 The aim of this study was to establish the current level of ENT training and experience amongst GPs in south-west England and to assess the perceived adequacy of this training. Furthermore, we aimed to examine whether experience and training affects referral rates to hospital specialist clinics.…”

Section: Introductionmentioning

confidence: 99%

ENT in general practice: training, experience and referral rates

et al. 2006

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A postal survey of 500 general practitioners (GPs) in south-west England was undertaken to evaluate the levels of undergraduate and postgraduate otolaryngology training and/or experience received by GPs in that area. Most GPs had received two weeks of undergraduate training in ENT, which had involved no formal assessment. Three-quarters of GPs considered this inadequate. A quarter of GPs had completed a hospital post in ENT prior to entering general practice, most of which lasted three months. Sixty-one per cent of GPs had received some formal postgraduate training in ENT, in the form of courses, lectures or hospital training sessions. Almost half of the GPs considered this inadequate. Seventy-five per cent of GPs stated they would like further training in ENT. Subjective estimates of referral rates to hospital ENT specialist clinics varied considerably. This study illustrates the variability and level of dissatisfaction regarding ENT training amongst GPs at both undergraduate and postgraduate levels.

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Does clinical assistant experience in ENT influence general practitioner referral rates to hospital?

Cited by 8 publications

References 3 publications

Referral interventions from primary to specialist care: a systematic review of international evidence

Referral interventions from primary to specialist care: a systematic review of international evidence

ENT training amongst general practitioners: results from a questionnaire

ENT in general practice: training, experience and referral rates

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