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Original Article

Reasons for referral from general practice in Finland

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Pages 43-47 | Received 01 Oct 1995, Accepted 01 Jul 1996, Published online: 12 Jul 2009
 

Abstract

Objective - To examine the reasons for referral from general practice in Finland.

Design - Survey over one week of all referrals from general practice.

Setting - Central and northern Finland, comprising 72% of the area of the country and one-third of the population.

Participants - 851 general practitioners (GPs) from public health centres.

Outcome measures - Referrals by speciality and reasons for referrals by ICD-9 and ICPC codes in terms of characteristics of patients, GPs, and practices.

Results - A higher proportion of male (39%) than female (33%) patients were referred to surgical speciality (p<0.001).

Ten per cent of the patients referred by female GPs were referred to gynaecology departments, compared with 5% of those referred by male GPs (p<0.001). Otitis media in children and abdominal pain in adults were the commonest reasons for referral of both male and female patients.

Conclusion - Our results will be useful in developing the training of GPs with respect to those health problems that most commonly lead to a referral to hospital.

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