Guidelines for referral to a regional genetics service: GPs respond by referring more appropriate cases
| Autor: | Jane O'Grady, Jean Harcourt, Anneke Lucassen, Eila Watson, Peter W Rose |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Referral genetic structures Genetic counseling MEDLINE Genetic Counseling Lower risk Risk Assessment Secondary care medicine Humans Practice Patterns Physicians' Referral and Consultation Quality of Health Care Genetics Service (business) Chi-Square Distribution business.industry Physicians Family England Family medicine Practice Guidelines as Topic Global Positioning System Guideline Adherence Family Practice business Risk assessment |
| Zdroj: | Family practice. 18(2) |
| ISSN: | 0263-2136 |
| Popis: | Objectives The aim of this study was to see whether guidelines on whom to refer to a regional genetics service could improve the appropriateness of referrals to the service. It also aimed to assess whether the genetic clinic assessment of risk agreed with that described in the GP letter. Methods Referral guidelines were sent to all Oxfordshire GPs and the subsequent content of the referral letters was analysed. A retrospective assessment of referral letters sent during the 6 months before dissemination was also made. Results The study showed that post-guidelines, fewer "lower risk" referrals were made and that the description of the risk in the GP letter improved, so that a greater proportion of genetic clinic risks agreed with those described in the GP letter. Conclusion The use of referral guidelines can help GPs to act as gatekeeper for referrals to secondary care. |
| Databáze: | OpenAIRE |
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