OBJECTIVE To assess how pressures from patients on doctors in the consultation contribute to referral and investigation. DESIGN Observational study nested within a randomised controlled trial. SETTING Five general practices in three settings in the United Kingdom. PARTICIPANTS 847 consecutive patients, aged 16-80 years. MAIN OUTCOMES MEASURES Patient preferences and doctors' perception ...

PURPOSE We sought to profile first-time patients without a referral who sought medical care at the Department of Internal Medicine at a medium-sized acute care hospital in Japan. We anticipated that the analysis would highlight the demand for medical care needs from acute care hospitals and help confirm one of the problems associated with primary care in Japan. PATIENTS AND METHODS The study ...

BACKGROUND Lung cancer is associated with rapid disease progression, which can significantly progress over a duration of four to eight weeks. This study examines the time interval lung cancer patients from the interior of British Columbia (BC) experience while undergoing diagnostic evaluation, biopsy, staging, and preparation for treatment. METHODS A chart review of lung cancer patients (n=23...

A prospective study was performed on elective neurosurgical office referrals to one neurosurgeon at the Toronto Hospital from September 1988 to May 1996. Patient level of information was tested using the chisquare test on the study population of 2,017 patients grouped according to the type of referring doctor and regional category of diagnosis. There was a statistically significant difference i...

This study is to assess the necessity of capacity building of borrower before taking the microcredit. The common agents for human capacity building are training, coaching, consulting, academic education, referrals, research etc. The impact of training has been assessed in this research. This study has been conducted on the basis of primary and secondary data. Some questionnaires have been devel...

This study examined differences arising from the sampling of patients from general practice and household surveys. When 25 general practitioners, who agreed to participate in one week morbidity survey in inner western Sydney, were compared with all general practitioners (192) identified in the area, they were not significantly different in terms of socio-demographic variables and practice detai...

OBJECTIVE To examine relations between consultation length and content, and general practitioner choice of claiming level B or C when billing consultations > 20 minutes through Medicare. DESIGN AND SETTING A secondary analysis from a cross-sectional national general practice survey (1 April 2000 to 31 March 2003) of 101 112 consultations with 2811 GPs, comparing level B consultations <or= 20 ...

proximity prediCts reFerral to the tertiary paediatriC Cardiology serviCe Editor, In the present era, demands on the specialist services provided in paediatric cardiology centres have increased dramatically 1, 2. We aimed to determine the frequency and basis for inpatient consultation with the paediatric cardiology service in a tertiary teaching hospital. Information regarding new patient refer...

proximity prediCts reFerral to the tertiary paediatriC Cardiology serviCe Editor, In the present era, demands on the specialist services provided in paediatric cardiology centres have increased dramatically 1, 2. We aimed to determine the frequency and basis for inpatient consultation with the paediatric cardiology service in a tertiary teaching hospital. Information regarding new patient refer...

AIM To characterise the opening of secondary care consultations. METHOD We audio-taped 17 first consultations in medical clinics, transcribed them verbatim, and analysed verbal interactions from when the doctor called the patient into the consulting room to when she or he asked clarifying questions. RESULTS The interviews did not open with the sequence, reported by previous researchers, of ...