Patients' physical disability may influence doctors' perceptions of suitability for risk assessment of CHDBMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7219.1266a (Published 06 November 1999) Cite this as: BMJ 1999;319:1266
- Matthew Banks, clinical research fellow, department of cardiology (Mat@dirtyb.freeserve.co.uk),
- George Kitas, senior lecturer, department of rheumatology
- Dudley Group of Hospitals NHS Trust, Dudley, West Midlands DY8 5QX
EDITOR—Gardener et al have raised the issue of barriers to referral in patients with angina, pointing to cultural gaps and perceptions leading to diagnostic confusion and inequality of referral for coronary revascularisation.1 Addressing this issue is essential for meeting the Health of the Nation target to reduce cardiovascular deaths.
Patients' perceptions are only one of the factors that lead to referral barriers. Doctors' perceptions of patients' suitability can also have profound implications for referral patterns for risk assessment of coronary heart …