Case-mix and variation in specialist referrals in general practice

British Journal of General Practice

Volumn 55, Issue 516, 2005, Pages 529-533

  Sullivan, Caoimhe O ^a   Omar, Rumana Z ^b   Ambler, Gareth ^b   Majeed, Azeem ^c  

^a UNIVERSITY COLLEGE LONDON HOSPITALS   (United Kingdom)

^b UNIVERSITY COLLEGE LONDON   (United Kingdom)

^c IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

Case mix; Morbidity; Referral and consultation

Indexed keywords

ADOLESCENT; ADULT; AGE DISTRIBUTION; AGED; ARTICLE; CASE MIX; CHILD; COHORT ANALYSIS; CONTROLLED STUDY; FACTUAL DATABASE; FEMALE; FOLLOW UP; GENERAL PRACTICE; HUMAN; INFANT; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; MORBIDITY; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; PATIENT REFERRAL; PREDICTION; RETROSPECTIVE STUDY; SEX DIFFERENCE; UNITED KINGDOM;

ADOLESCENT; ADULT; AGE FACTORS; AGED; CHILD; CHILD, PRESCHOOL; COHORT STUDIES; DIAGNOSIS-RELATED GROUPS; FAMILY PRACTICE; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; MALE; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIAN'S ROLE; REFERRAL AND CONSULTATION; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; SEX FACTORS;

EID: 21344462626     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (22)

1. O'Donnell CA. Variation in GP referral rates: what can we learn from the literature? Fam Pract 2000; 17: 462-471.
2. Rowlands G, Graham L, Keene D, et al (2004) PCT/primary care referrals: current and future trends. BJHCM 10(4): 110-115.
3. Hippisley-Cox J, Hardy C, Pringle M, et al. The effect of deprivation on variations in general practitioners' referral rates: a cross sectional study of computerised data on new medical and surgical outpatient referrals in Nottinghamshire. BMJ 1997; 314: 1458-1461.
4. Forrest C, Majeed A, Weiner JP, et al. Primary care physicians' specialty referral rates in the United Kingdom versus the United States. BMJ 2002; 325: 370-371.
5. Franks P, Zwanziger J, Mooney C, Sorbero M. Variations in primary care physician referral rates. Health Serv Res 1999; 34: 323-329.
6. Salem Schatz S, Moore G, Rucker M, Pearson SD. The case for case mix adjustment in practice profiling. When good apples look bad. JAMA 1994; 272(11): 871-874.
7. Starfield B, Weiner J, Mumford L, Steinwachs D. Ambulatory care groups: a categorization of diagnoses for research and management. Health Serv Res 1991; 26(1): 53-74.
8. Weiner JP, Starfield BH, Steinwachs DM, Mumford LM. Development and application of a population-oriented measure of ambulatory care case-mix. Med Care 1991; 29: 452-472.
9. Weiner JP, Abrams C. ACG virtual library: version 4.5 (February 2000). ACG software documentation/users manual. Baltimore: Health Services Research & Development Centre, The Johns Hopkins University, 1991-2001.
10. Majeed A, Bindman AB, Weiner JP. Use of risk adjustment in setting budgets and measuring performance in primary care I: how it works. BMJ 2001; 323: 604-607.
11. Majeed A, Bindman AB, Weiner JP. Use of risk adjustment in setting budgets and measuring performance in primary care II: advantages, disadvantages, and practicalities. BMJ 2001; 323: 607-610.
12. Lawson DH, Sherman V, Hollowell J. The General Practice Research Database. Scientific and Ethical Advisory Group. QJM 1998; 91: 445-452.
13. Hollowell I. The General Practice Research Database: quality of morbidity data. Popul Trends 1997; 87: 3640.
14. Jick H, Jick SS, Derby LE. Validation of information recorded on general practitioner based computerised data resource in the United Kingdom. BMJ 1991; 302: 766-768.
15. Goldstein H. Multilevel statistical models. London: Edward Arnold, 1995.
16. Snijders TAB, Bosker RJ. Multilevel analysis: an introduction to basic and advanced multilevel modeling. Sage Publishers, 1999.
17. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982; 143: 29-36.
18. Rasbash I, Browne W, Goldstein H, et al. A user's guide to MlwiN version 2.1. London: Multilevel Models Project, Institute of Education, University of London, 2000.
19. Davis P, Gribben B, Lay-Yee R, Scott A. How much variation in clinical activity is there between general practitioners? A multilevel analysis of decision-making in primary care. Health Serv Policy 2002; 7(4): 202-208.
20. Office for National Statistics. Key health statistics from general practice. Series MB6 No. 2. London: The Stationery Office, 1998.
21. Armstrong D, Fry I, Armstrong P. Doctors' perceptions of pressure from patients for referral. BMJ 1991; 302: 1186-1188.
22. Little P, Dorward M, Warner G, et al. Importance of patient pressure and perceived pressure and perceived medical need for investigations, referral, and prescribing in primary care: nested observational study. BMJ 2004; 328: 444-448.