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Be honest about referrals

BMJ 1994; 308 doi: (Published 29 January 1994) Cite this as: BMJ 1994;308:340
  1. A Brook
  1. London NW3 2BS.

    EDITOR, - I support Allen Hutchinson's statement that key elements in the variation in rates of referral to hospital are the behaviour of individual doctors, and the factors underlying this.1 Some years ago I suggested that there were four main reasons for referral to a psychiatric clinic.2 I have found from experience since that these reasons also apply, in varying degrees, to other specialties, particularly gastroenterology. …

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