Letters

Trends in referral patterns

BMJ 1996; 312 doi: http://dx.doi.org/10.1136/bmj.312.7028.444c (Published 17 February 1996) Cite this as: BMJ 1996;312:444

Main reductions in referrals occurred after study ended

  1. James A Dunbar, General practitioner,
  2. D Susan Vincent, General practitioner,
  3. Joyce N Meikle, General practitioner,
  4. Ann P Dunbar, General practitioner,
  5. Patricia A Jones, General practitioner
  1. Downfield Surgery, Downfield, Dundee DD3 8NE

    EDITOR,—The study by Rebecca Surender and colleagues suggests that no evidence exists that fundholding encourages a shift away from specialist care.1 This may be more a case of absence of evidence than evidence of absence. Indeed, two fundholding practices in their study showed a reduction in referral rates, but this was lost in the …

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