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

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dc.contributor.author Gruen, Russell en_US
dc.contributor.author Knox, Stephanie en_US
dc.contributor.author Britt, Helena en_US
dc.contributor.author Bailie, Ross en_US
dc.contributor.editor en_US
dc.date.accessioned 2010-05-28T09:51:05Z
dc.date.available 2010-05-28T09:51:05Z
dc.date.issued 2002 en_US
dc.identifier 2007003607 en_US
dc.identifier.citation Gruen Russell et al. 2002, 'Where there is no surgeon: the effect of specialist proximity on general practitioners' referral rates', Australian Medical Association, vol. 177, no. 2, pp. 111-115. en_US
dc.identifier.issn 0025-729X en_US
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 GP?patient 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, 0.44?0.70) and ophthalmological (OR, 0.60; 95% CI, 0.49?0.73) 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. en_US
dc.language en_US
dc.publisher Australian Medical Association en_US
dc.relation.isbasedon en_US
dc.title Where there is no surgeon: the effect of specialist proximity on general practitioners' referral rates en_US
dc.parent Medical Journal of Australia en_US
dc.journal.volume 177 en_US
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 111799 en_US
dc.personcode 0000045712 en_US
dc.personcode 998486 en_US
dc.personcode 0000042982 en_US
dc.personcode 0000045715 en_US
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

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