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Views of Specialists and General Practitioners regarding referral process in Sri Lanka

Show simple item record Ramanayake, R.P.J.C. Sumanasekera, R.D.N. de Silva, A.H.W. Perera, D.P. 2015-09-21T06:25:57Z 2015-09-21T06:25:57Z 2014
dc.identifier.citation The Ceylon Medical Journal. 2014; 59(Supplement 1):74-75 en_US
dc.identifier.issn 0009-0875 (Print)
dc.description Poster Presentation Abstract (PP58), 127th Annual Scientific Sessions, Sri Lanka Medical Association, 2014 Colombo, Sri Lanka en_US
dc.description.abstract INTRODUCTION AND OBJECTIVES: Sri Lanka has an impressive healthcare system, despite the lack of a system for registering patients under healthcare providers and no established referral and back referral system. In referring patients in Sri Lanka, communication between General Practitioners (GPs) and specialists take place mostly via letters. METHODS: A descriptive cross sectional study using self-administered questionnaires explored views of specialists and GPs on the referral process. RESULTS: Island wide, 20% of 1100 specialists representing 28 specialties invited to participate responded According to specialists, referral letters were few in number and poor in quality. Specialists expected comprehensive referrals describing the problem, patient and administrative details. Few replied to referrals and reasons stated were; time constrains, lack of secretarial support, perceptions such as the letter will not reach the GP, no benefit to GP or patient. Response rate from general practitioners was 28.7%. Less than-60% always wrote a referral letter. Reasons for not writing referral letters were; lack of ownership to non-regular patients, no feedback from specialists and patients insistence on referral without an indication. GPs stated that reply rate was poor irrespective of referral destination and main items of information expected following a referral were a reply letter with diagnosis, plan of management and instructions to the GP. CONCLUSIONS: Both groups agree that there should be better communication and coordination between GPs and specialists/hospital doctors. Ways to improve communication should be explored and rectifying measures should be undertaken. en_US
dc.language.iso en_US en_US
dc.publisher Sri Lanka Medical Association en_US
dc.subject referral process en_US
dc.title Views of Specialists and General Practitioners regarding referral process in Sri Lanka en_US
dc.type Article en_US

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