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dc.contributor.authorThorsen, Olaven_US
dc.contributor.authorHartveit, Miriamen_US
dc.contributor.authorBærheim, Andersen_US
dc.description.abstractBackground: Within the health system, communication between the different levels of care is essential for the patients’ clinical pathways and medical treatment. This includes the referral process: how and why patients are sent from the primary care level to specialist health services. We wanted to identify and describe hospital consultants’ reflections on and attitudes to the referral process and cooperation with general practitioners (GPs). Methods: A qualitative study of semi-structured interviews with 13 hospital consultants representing eight different specialties, analyzed using systematic text condensation. Interviews conducted from February 2011 to October 2012. Results: The consultants reported a considerable workload assessing referrals from GPs and prioritizing patients for specialist services. National guidelines were used as well as individual standards and guidelines. Good referrals could make the prioritization process easier. The specialists expressed a deep concern about securing a fair priority of patients and a willingness to give reasonable advice back to the referring GP when rejecting a referral. Better communication, such as a telephone call to confer with a hospital specialist before referral, was wanted. Conclusions: Better communication and cooperation between hospital consultants and GPs could make the referral process more balanced, and the participants more like partners.en_US
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="" target="blank">General practitioners’ referrals to specialist health services. Exploring elements and factors in the referral process having an impact om patients’ access to specialty care</a>
dc.rightsAttribution CC BYeng
dc.titleThe consultants' role in the referring process with general practitioners: partners or adjudicators? a qualitative studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2013 Thorsen et al.; licensee BioMed Central Ltd.
dc.source.journalBMC Family Practice

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