The demand for surgery: An analysis of referrals from Australian general practitioners

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Show simple item record Gruen, RL Knox, SA Carson, P O'Rourke, IC Britt, H Bailie, RS 2010-05-28T09:50:37Z 2004-01
dc.identifier.citation Anz Journal Of Surgery, 2004, 74 (10), pp. 863 - 868
dc.identifier.issn 1445-1433
dc.identifier.other C1UNSUBMIT en_US
dc.description.abstract Optimal planning for surgical training and the surgical workforce requires knowledge of the need and demand for surgical care in the community. This has previously relied on indirect indicators, such as hospital throughput. We aimed to describe referrals from general practitioners (GPs) to surgeons in Australia using a classification of surgical disorders developed especially for primary care settings. Terms in the International Classification of Primary Care Version 2-Plus were reclassified into categories delineated by specialist surgeons, resulting in the Surgical Nosology In Primary-care Settings (SNIPS). Referrals to surgeons were analysed using data on 303 000 patient encounters by a random sample of 3030 GPs involved in the Bettering the Evaluation and Care of Health (BEACH) study. Thirty-two per cent (143 013) of all problems were classified as potential surgical problems, of which 9.5% (13 570) were referred to surgeons at an overall rate of 44.8 referrals per 1000 GP encounters. Patients with surgical problems were significantly older than the overall general practice patient population. Women and patients with health care cards were significantly less likely than men and patients without health care cards to be referred when a surgical problem was managed by the GP. Forty-two per cent of all surgical referrals were accounted for by the following categories: skin lesions, skin infection/injury, upper gastrointestinal, breast lumps/cancer, spine, knee arthritis/pain, knee injury/instability, infective and non-infective ear disorders.
dc.publisher Blackwell Publishing Ltd
dc.relation.isbasedon 10.1111/j.1445-1433.2004.03190.x
dc.title The demand for surgery: An analysis of referrals from Australian general practitioners
dc.type Journal Article
dc.parent Anz Journal Of Surgery
dc.journal.volume 10
dc.journal.volume 74
dc.journal.number 10 en_US
dc.publocation Carlton, Australia en_US
dc.identifier.startpage 863 en_US
dc.identifier.endpage 868 en_US BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 1103 Clinical Sciences
dc.personcode 998486
dc.percentage 100 en_US Clinical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
dc.description.keywords classification, family practice, health service needs and demand, referral and consultation, surgery en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Strength - Health Economics and Research Evaluation
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)

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