Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural Iran

Abstract: Establishing effective communication between general practitioners (GPs) and medical specialists is a key component of the referral system. Written communication between GPs and medical specialists is the most common communication tool. This study was conducted to evaluate quality (informa...

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Main Authors: Ali Janati, Abolgasem Amini, Davoud Adham, Mansour Naseriasl
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017000206001&lng=en&tlng=en
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author Ali Janati
Abolgasem Amini
Davoud Adham
Mansour Naseriasl
author_facet Ali Janati
Abolgasem Amini
Davoud Adham
Mansour Naseriasl
author_sort Ali Janati
collection DOAJ
description Abstract: Establishing effective communication between general practitioners (GPs) and medical specialists is a key component of the referral system. Written communication between GPs and medical specialists is the most common communication tool. This study was conducted to evaluate quality (information content) of the referral letters written by GPs and addressed to gynecologists and cardiologists. We evaluated quality of the referral letters through a cross-sectional study in the villages of Sarab city, located in East Azerbaijan Province, Northwest Iran. The study was conducted during August and September 2015 in which a total of 400 referral letters were evaluated according to specific quality criteria. Cluster sampling was implemented and data were collected using an instrument designed by the Department of Family Medicine at the University of Manitoba, Canada. A specifically designed referral form was used to refer pregnant women to gynecologists. Referrals addressed to gynecologists showed better quality in comparison to cases referred to cardiologists. Legibility of referral letters was 73%. It is recommended that agreed-upon referral letters be designed cooperatively for different groups of diseases. Furthermore, primary health care providers should be trained to write proper referral letters.
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spelling doaj.art-d9ff9194be2d418e98de06f1fc9293412022-12-21T17:57:39ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-446433210.1590/0102-311x00043016S0102-311X2017000206001Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural IranAli JanatiAbolgasem AminiDavoud AdhamMansour NaseriaslAbstract: Establishing effective communication between general practitioners (GPs) and medical specialists is a key component of the referral system. Written communication between GPs and medical specialists is the most common communication tool. This study was conducted to evaluate quality (information content) of the referral letters written by GPs and addressed to gynecologists and cardiologists. We evaluated quality of the referral letters through a cross-sectional study in the villages of Sarab city, located in East Azerbaijan Province, Northwest Iran. The study was conducted during August and September 2015 in which a total of 400 referral letters were evaluated according to specific quality criteria. Cluster sampling was implemented and data were collected using an instrument designed by the Department of Family Medicine at the University of Manitoba, Canada. A specifically designed referral form was used to refer pregnant women to gynecologists. Referrals addressed to gynecologists showed better quality in comparison to cases referred to cardiologists. Legibility of referral letters was 73%. It is recommended that agreed-upon referral letters be designed cooperatively for different groups of diseases. Furthermore, primary health care providers should be trained to write proper referral letters.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017000206001&lng=en&tlng=enRemisión y ConsultaMédicos GeneralesAtención Primaria de Salud
spellingShingle Ali Janati
Abolgasem Amini
Davoud Adham
Mansour Naseriasl
Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural Iran
Cadernos de Saúde Pública
Remisión y Consulta
Médicos Generales
Atención Primaria de Salud
title Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural Iran
title_full Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural Iran
title_fullStr Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural Iran
title_full_unstemmed Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural Iran
title_short Assessing the quality of referral letters written by general practitioners: a cross-sectional study in rural Iran
title_sort assessing the quality of referral letters written by general practitioners a cross sectional study in rural iran
topic Remisión y Consulta
Médicos Generales
Atención Primaria de Salud
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017000206001&lng=en&tlng=en
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AT davoudadham assessingthequalityofreferralletterswrittenbygeneralpractitionersacrosssectionalstudyinruraliran
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