Duncan Guy wrote:
I always wondered how GPs decided who to refer to ...

As I thought, not based on evidence based medicine, good service to
patients, appropriate investigations, not overservicing.  I must check
with those other specialists in my area in sydney who dont qualify for
any of the above .. perhaps they are using Argus ...

btw . the group of 30 specialists that I represent are going to be using
a paid service starting in February.

So have I. Maybe not for the same reasons. One of the big missing links is some study of GP referral patterns by locality, and maybe by preference. Most GP-specialist referral pilots that are working are in small, geographically-identifiable areas, with populations of a couple of hundred thousand or less, and typically one or two hospitals.

If Central Coast has 2/3 of its GPs on board with its comms solution, and the hospital, the local specialists may see the advantage in joining up.

Referral patterns in the city seem very complex, so it is harder to identify who will benefit from say, 50 GPs who want to send referrals electronically. In the city no one specialist may be interested in them as only 10 may refer to him, and he has 1500 other referees who send him letters, are interested in other technologies for doing this, etc., so he has no motivation to go along with them.

Greg

--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200

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