Direct self-referral to a consultant, especially on an urgent basis, has not been widely explored before.
The health insurance system in Israel permits elective direct self-referrals to various specialists, but the range and reasons of urgent self-referrals has not yet been evaluated.
Our aim was to evaluate urgent self-referrals to ambulatory consultants and to see to what extent a qualified family physician can triage and treat those patients.
The setting was an urban ambulatory multi-disciplinary consultation center in the city of Ashdod in central Israel, serving a population of approximately 150,000.
Over a three-month period, all patients who made urgent self-referrals for an ambulatory consultant in Ophthalmology, Ear, Nose and Throat (ENT) and Dermatology were triaged by an on-duty qualified family physician.
The physician was instructed to take care of the patient in one of three ways : 1) immediate referral to a specialist ; 2) begin treatment and schedule the patient for a specialist consultation ; 3) administration of definitive treatment.
Eight hundred and ninety-eight patients aged 46±22 years were treated by the triaging family physician.
Forty-six percent had ophthalmological symptoms, 26% had dermatological symptoms and 20% had ENT-related symptoms.
A symptom duration of less than 24 hours was reported by 36% of the patients.
Eye problems were more commonly of short duration (p<0.001). (...)
Mots-clés Pascal : Consultation, Multidisciplinaire, Evaluation, Facteur qualité, Médecin, Triage, Référence, Critère sélection, Diagnostic, Relation médecin malade, Prospective, Homme, Israël, Asie, Médecine, Organisation santé
Mots-clés Pascal anglais : Consultation, Multidisciplinary, Evaluation, Q factor, Physician, Sorting, Reference, Selection criterion, Diagnosis, Physician patient relation, Prospective, Human, Israel, Asia, Medicine, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0063022
Code Inist : 002B30A03C. Création : 14/05/1998.