Evidence map›Paper›PMID 24118941›Full record

ArticleBMC family practice2013

The consultants' role in the referring process with general practitioners: partners or adjudicators? a qualitative study.

Olav Thorsen, Miriam Hartveit, Anders Baerheim

Abstract read
In one paragraph

Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Electronic checklists improve referral letters in gastroenterology: a randomized vignette survey.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2018
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  17. Typologies in GPs' referral practice.BMC family practice · 2016
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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 Global Public Health and Primary Care, University of Bergen, Bergen, Norway. othorsen@lyse.net.
Miriam Hartveit
Anders Baerheim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWithin the health system, communication between the different levels of care is essential for the patients' clinical pathways and medical treatment. This includes the referral process: how and why patients are sent from the primary care level to specialist health services. We wanted to identify and describe hospital consultants' reflections on and attitudes to the referral process and cooperation with general practitioners (GPs).

methodsA qualitative study of semi-structured interviews with 13 hospital consultants representing eight different specialties, analyzed using systematic text condensation. Interviews conducted from February 2011 to October 2012.

resultsThe consultants reported a considerable workload assessing referrals from GPs and prioritizing patients for specialist services. National guidelines were used as well as individual standards and guidelines. Good referrals could make the prioritization process easier. The specialists expressed a deep concern about securing a fair priority of patients and a willingness to give reasonable advice back to the referring GP when rejecting a referral. Better communication, such as a telephone call to confer with a hospital specialist before referral, was wanted.

conclusionsBetter communication and cooperation between hospital consultants and GPs could make the referral process more balanced, and the participants more like partners.

Indexed as

ConsultantsPhysician's RoleReferral and ConsultationSpecializationAdultAttitude of Health PersonnelCooperative BehaviorFemaleGeneral PracticeHumansInterdisciplinary CommunicationInterprofessional RelationsMaleMiddle AgedQualitative ResearchWorkload

Identifiers

PMID24118941
PMCPMC3852119

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.