Where there is no surgeon: the effect of specialist proximity on general practitioners' referral rates

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dc.contributor.author Gruen, RL
dc.contributor.author Knox, SA
dc.contributor.author Britt, H
dc.contributor.author Bailie, RS
dc.date.accessioned 2010-05-28T09:51:05Z
dc.date.issued 2002-01
dc.identifier.citation Medical Journal of Australia, 2002, 177 (2), pp. 111 - 115
dc.identifier.issn 0025-729X
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/9668
dc.description.abstract Objective: To determine the effect of proximity of surgical specialists on general practitioners' (GPs') rates of referral of surgical problems to specialist care (ie, are surgical referral rates of GPs in rural or remote areas similar to those of GPs in urban centres?). Design: A cross-sectional survey of GPpatient encounters. Setting: The Bettering the Evaluation and Care of Health (BEACH) program, which involves all active registered GPs in Australia. Participants: A random sample of 3030 GPs, each providing details of 100 consecutive patient encounters. Main outcome measures: Proportion of surgical problems (including ophthalmological and obstetric and gynaecological) referred to surgical specialists (surgeons' rooms, hospital outpatient departments or hospital emergency departments). Results: Absence of a local specialist did not significantly influence the proportion of surgical problems referred by GPs overall, but the proportion referred was significantly lower for obstetric (odds ratio [OR], 0.56; 95% CI, 0.440.70) and ophthalmological (OR, 0.60; 95% CI, 0.490.73) problems. Other factors independently associated with referral of a lower proportion of problems included male GPs, female and younger patients, holders of a Health Care Card, injury-related and non-cancer-related problems, follow-up presentations, and more than one problem managed at an encounter. Conclusions: Our findings confirm that rural and remote GPs undertake much of their patients' antenatal care, and are less likely to use specialists when managing ophthalmological problems. Absence of local specialists in other surgical specialties is not a barrier to referral of patients with surgical disorders.
dc.format Yes
dc.publisher Australian Medical Association
dc.title Where there is no surgeon: the effect of specialist proximity on general practitioners' referral rates
dc.type Journal Article
dc.description.version Published
dc.parent Medical Journal of Australia
dc.journal.volume 2
dc.journal.volume 177
dc.journal.number 2 en_US
dc.publocation Australia en_US
dc.identifier.startpage 111 en_US
dc.identifier.endpage 115 en_US
dc.cauo.name BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 140208 Health Economics
dc.for 111799 Public Health and Health Services Not Elsewhere Classified
dc.personcode 998486
dc.percentage 80 en_US
dc.classification.name Public Health and Health Services not elsewhere classified en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords en_US
dc.description.keywords Science & Technology
dc.description.keywords Physical Sciences
dc.description.keywords Technology
dc.description.keywords Chemistry, Multidisciplinary
dc.description.keywords Engineering, Chemical
dc.description.keywords Chemistry
dc.description.keywords Engineering
dc.description.keywords CHEMISTRY, MULTIDISCIPLINARY
dc.description.keywords ENGINEERING, CHEMICAL
dc.description.keywords biofilter
dc.description.keywords GAC
dc.description.keywords organics
dc.description.keywords biomass
dc.description.keywords mathematical modelling
dc.description.keywords BIOMASS
dc.description.keywords BIOFILTER
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 Open Access
utslib.copyright.date 2015-04-15 12:23:47.074767+10
utslib.collection.history Uncategorised (ID: 363)
utslib.collection.history General (ID: 2)

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