General practitioner perspectives on referrals to paediatric public specialty clinics.

Freed, GL; Turbitt, E; Kunin, M; Gafforini, S; Sanci, L; Spike, N

General practitioner perspectives on referrals to paediatric public specialty clinics.

Freed, GL Turbitt, E

Kunin, M Gafforini, S Sanci, L Spike, N

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Publisher:: ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS
Publication Type:: Journal Article
Citation:: Aust Fam Physician, 2016, 45, (10), pp. 747-753
Issue Date:: 2016-10

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Field	Value	Language
dc.contributor.author	Freed, GL
dc.contributor.author	Turbitt, E https://orcid.org/0000-0002-6650-9702
dc.contributor.author	Kunin, M
dc.contributor.author	Gafforini, S
dc.contributor.author	Sanci, L
dc.contributor.author	Spike, N
dc.date.accessioned	2022-08-07T06:01:33Z
dc.date.available	2022-08-07T06:01:33Z
dc.date.issued	2016-10
dc.identifier.citation	Aust Fam Physician, 2016, 45, (10), pp. 747-753
dc.identifier.issn	0300-8495
dc.identifier.uri	http://hdl.handle.net/10453/159733
dc.description.abstract	BACKGROUND: Changes in the demography of Australia have resulted in changes in patterns of primary care delivery. One of these changes is that the proportion of paediatric visits has decreased. OBJECTIVE: The objectives of the article are to examine patient, practice and personal factors that influence a general practitioner's (GP's) decision to refer patients for paediatric specialty care, and investigate referral goals and experience with shared care. METHODS: A mail survey was sent out to 400 GPs who had referred at least two children to public hospital specialty clinics during 2014. RESULTS: The response rate for the mail survey was 67%. The factors most commonly reported by GPs as 'Somewhat important' or 'Very important' in the decision to refer were whether they had enough knowledge of a specific condition (81%) or did not have experience with similar patients (75%). About one-quarter (26%) of GPs reported that a parental request 'Frequently' or 'Almost always' influenced their referral decision. A similar pro-portion (26%) placed importance on whether they had sufficient time for a specific patient. DISCUSSION: Understanding the perspectives and determinants of GP referrals for paediatric specialty care is important, especially in the context of changing patterns of primary care delivery.
dc.format	Print
dc.language	eng
dc.publisher	ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS
dc.relation.ispartof	Aust Fam Physician
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services
dc.subject.classification	General & Internal Medicine
dc.subject.mesh	Adult
dc.subject.mesh	Ambulatory Care Facilities
dc.subject.mesh	Decision Making
dc.subject.mesh	Female
dc.subject.mesh	General Practitioners
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Pediatrics
dc.subject.mesh	Perception
dc.subject.mesh	Practice Patterns, Physicians'
dc.subject.mesh	Public Facilities
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Perception
dc.subject.mesh	Decision Making
dc.subject.mesh	Pediatrics
dc.subject.mesh	Public Facilities
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Ambulatory Care Facilities
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	General Practitioners
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Practice Patterns, Physicians'
dc.title	General practitioner perspectives on referrals to paediatric public specialty clinics.
dc.type	Journal Article
utslib.citation.volume	45
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Genetic Counselling
utslib.copyright.status	closed_access	*
dc.date.updated	2022-08-07T06:01:31Z
pubs.issue	10
pubs.publication-status	Published
pubs.volume	45
utslib.citation.issue	10

Abstract:

BACKGROUND: Changes in the demography of Australia have resulted in changes in patterns of primary care delivery. One of these changes is that the proportion of paediatric visits has decreased. OBJECTIVE: The objectives of the article are to examine patient, practice and personal factors that influence a general practitioner's (GP's) decision to refer patients for paediatric specialty care, and investigate referral goals and experience with shared care. METHODS: A mail survey was sent out to 400 GPs who had referred at least two children to public hospital specialty clinics during 2014. RESULTS: The response rate for the mail survey was 67%. The factors most commonly reported by GPs as 'Somewhat important' or 'Very important' in the decision to refer were whether they had enough knowledge of a specific condition (81%) or did not have experience with similar patients (75%). About one-quarter (26%) of GPs reported that a parental request 'Frequently' or 'Almost always' influenced their referral decision. A similar pro-portion (26%) placed importance on whether they had sufficient time for a specific patient. DISCUSSION: Understanding the perspectives and determinants of GP referrals for paediatric specialty care is important, especially in the context of changing patterns of primary care delivery.

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http://hdl.handle.net/10453/159733