Referral mismanagement systemsBMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f7014 (Published 22 November 2013) Cite this as: BMJ 2013;347:f7014
- John Dean, consultant cardiologist, Royal Devon and Exeter Hospital, Exeter EX2 5DW, UK
Referral management systems are teams led by general practitioners that aim to improve the efficiency of referrals from primary care to specialists. But the evidence seems clear: they do not improve access; they increase costs; and they preferentially target high referrers, not the worryingly low ones.1
Referral rates to clinics can vary 10-fold between general practitioners working at the same practice. And it drives those of us who work in these clinics nuts. The rapid access chest pain assessment clinic that I help run has clear …
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