Evidence map›Paper›PMID 23050793›Full record

ArticleScandinavian journal of primary health care2012

General practitioners' reflections on referring: an asymmetric or non-dialogical process?

Olav Thorsen, Miriam Hartveit, Anders Baerheim

Registry-linked trialAbstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01976221 (Priority Setting and Waiting Time Decision in the Referral Process, How and by Whom? A Prospective Cluster Randomized Controlled Trial on the Effects of an Education Program in Priority Setting and Waiting Time Decision in Referrals), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01976221 withdrawnnot on this mapstarted 2016, after this paper: background citation

Priority Setting and Waiting Time Decision in the Referral Process, How and by Whom? A Prospective Cluster Randomized Controlled Trial on the Effects of an Education Program in Priority Setting and Waiting Time Decision in Referrals

TypeobservationalSponsorUniversity of BergenRan2016 to 2018Enrolled0ConditionsCommunication
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Typologies in GPs' referral practice.BMC family practice · 2016
    Observational
  12. Review
  13. Article
  14. Article
  15. Article
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  19. Genecialist manifesto: overcoming the "class struggle" in medicine.International journal of general medicine · 2013
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Olav ThorsenDepartment of Public Health and Primary Health Care, University of Bergen, Norway. othorsen@lyse.net
Miriam Hartveit
Anders Baerheim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIdentify and describe general practitioners' (GPs') reflections on and attitudes to the referral process and cooperation with hospital specialists.

designQualitative study using semi-structured focus-group interviews with GPs analysed using Giorgi's method as modified by Malterud.

settingInterviews conducted over four months from November 2010 to February 2011. SUBJECTS: 17 female and 14 male GPs aged 29 to 61 years from 21 different practices, who had practised for 3-35 years.

main outcome measuresDescription of GPs' views on the referral process.

resultsGPs wished for improved dialogue with the hospital specialists. The referral process was often considered as asymmetric and sometimes humiliating. GPs saw the benefit of using templates in the referral process, but were sceptical concerning the use of mandatory fixed formats.

conclusionsThe referral process is essential for good patient care between general practice and specialist services. GPs consider referring as asymmetric and sometimes humiliating. The dichotomy between the wish for mutual dialogue and the convenience of using templates should be kept in mind when assuring quality of the referral process.

Indexed as

Interdisciplinary CommunicationAdultAttitude of Health PersonnelFamily PracticeFemaleFocus GroupsGeneral PracticeGeneral PractitionersHumansMaleMiddle AgedNorwayQualitative ResearchReferral and Consultation

Identifiers

PMID23050793
PMCPMC3520419

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.