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Br J Gen Pract. Nov 1990; 40(340): 445–449.
PMCID: PMC1371413

A study of communication between general practitioners and specialists.

Abstract

A random sample of referral letters from general practitioners to outpatient departments of general medicine, dermatology, neurology, and gastroenterology at an Amsterdam teaching hospital were analysed together with the specialists' replies for 144 referrals. The pairs of letters were judged by a panel of four general practitioners and four specialists. Letters were assessed according to quality and content, clarity, request for return to general practitioner care, time intervals between referral and consultation and between consultation and the specialist's reply. The judges were also asked to assess whether in their opinion the letters were of value in teaching or were discourteous. Though in general intraobserver agreement on what constitutes a good letter was low, deficiencies were revealed in the quality of letters and there were delays in transmission and missed educational opportunities.

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Selected References

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  • DEALARCON R, HODSON JM. VALUE OF THE GENERAL PRACTITIONER'S LETTER. A FURTHER STUDY IN MEDICAL COMMUNICATION. Br Med J. 1964 Aug 15;2(5406):435–438. [PMC free article] [PubMed]
  • McGlade KJ, Bradley T, Murphy GJ, Lundy GP. Referrals to hospital by general practitioners: a study of compliance and communication. BMJ. 1988 Nov 12;297(6658):1246–1248. [PMC free article] [PubMed]
  • Grace JF, Armstrong D. Reasons for referral to hospital: extent of agreement between the perceptions of patients, general practitioners and consultants. Fam Pract. 1986 Sep;3(3):143–147. [PubMed]
  • Grace JF, Armstrong D. Referral to hospital: perceptions of patients, general practitioners and consultants about necessity and suitability of referral. Fam Pract. 1987 Sep;4(3):170–175. [PubMed]
  • Carroll J. Working with ... the hospital doctor. Practitioner. 1988 Sep 22;232(1454 ):1034–1036. [PubMed]
  • Marinker M. The referral system. J R Coll Gen Pract. 1988 Nov;38(316):487–490. [PMC free article] [PubMed]
  • Wilkin D, Smith AG. Variation in general practitioners' referral rates to consultants. J R Coll Gen Pract. 1987 Aug;37(301):350–353. [PMC free article] [PubMed]
  • Wilkin D, Metcalfe DH. List size and patient contact in general medical practice. Br Med J (Clin Res Ed) 1984 Dec 1;289(6457):1501–1505. [PMC free article] [PubMed]
  • Doeleman F. Improving communication between general practitioners and specialists. Fam Pract. 1987 Sep;4(3):176–182. [PubMed]
  • Covell DG. "In the good old days. . .". N Engl J Med. 1988 Oct 27;319(17):1158–1159. [PubMed]
  • Mageean RJ. Study of "discharge communications" from hospital. Br Med J (Clin Res Ed) 1986 Nov 15;293(6557):1283–1284. [PMC free article] [PubMed]
  • Sandler DA, Mitchell JR. Interim discharge summaries: how are they best delivered to general practitioners? Br Med J (Clin Res Ed) 1987 Dec 12;295(6612):1523–1525. [PMC free article] [PubMed]
  • Penney TM. Delayed communication between hospitals and general practitioners: where does the problem lie? BMJ. 1988 Jul 2;297(6640):28–29. [PMC free article] [PubMed]
  • Dunn DC, Dale RF. Combined computer generated discharge documents and surgical audit. Br Med J (Clin Res Ed) 1986 Mar 22;292(6523):816–818. [PMC free article] [PubMed]
  • Marinker M, Wilkin D, Metcalfe DH. Referral to hospital: can we do better? BMJ. 1988 Aug 13;297(6646):461–464. [PMC free article] [PubMed]
  • van Beusekom JA, Geerling J. De ontslagbrief. Ned Tijdschr Geneeskd. 1988 Dec 17;132(51):2315–2316. [PubMed]
  • Hull FM, Westerman RF. Referral to medical outpatients department at teaching hospitals in Birmingham and Amsterdam. Br Med J (Clin Res Ed) 1986 Aug 2;293(6542):311–314. [PMC free article] [PubMed]
  • van Weel C, van der Velden HGM. Referral to medical outpatients department at teaching hospitals in Birmingham and Amsterdam. Br Med J (Clin Res Ed) 1986 Oct 18;293(6553):b1026–1026. [PMC free article]
  • Maclure M, Willett WC. Misinterpretation and misuse of the kappa statistic. Am J Epidemiol. 1987 Aug;126(2):161–169. [PubMed]

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