caa a22 4500 397499353 CHVBK 20180308164529.0 cr unu---uuuuu 161202e199506 xx s 000 0 eng 10.1093/fampra/12.2.159 doi (NATIONALLICENCE)oxford-10.1093/fampra/12.2.159 Variability in GPs′ referral rates in Spain [Elektronische Daten] [L García Olmos, V Abraira, J Gervas, A Otero, M Pérez Fernández] The purpose of this study is to explore the causes that may influence the variations on referral rates in a sample of 242 general practitioners (GPs) in Spain. We applied Poisson multivariant regression modeling to analyze the role played by different variables related to doctors, patients and practices. The mean referral rate was 6.92±0.22 with a variant coefficient of 50.6%. The results of the Poisson model showed a statistically significant variation on the following variables: 1) doctor gender; 2) proportion of consultations to the practice made by male patients; 3) proportion of consultations made by patients over 65 years of age; 4) list size, 5) number of doctors in the PCT; 6) number of practice consultations to each doctor per week; 7) accredited practice for VT; 8) location of practice; 9) proportion of outpatient referrals; 10) proportion of private referrals; 11) proportion of emergency referrals; 12) proportion of referrals in which the patient′s attitude did not influence the doctor for the referral; 13) proportion of new referrals. The statistical significance for the final model was very high (P < 0.00001). The study draws attention to the influence of some structural characteristics of health care system on the referral rates that could be modified to reduce the number of referrals from Primary to Secondary Care. © Oxford University Press Investigation and diagnosis nationallicence Olmos L García Centro de Salud ‘La Chopera', Alcobendas, Spain, Madrid, Spain, Madrid, Spain, Madrid, Spain aut Abraira V. Unidad de Bioestadistica clinica, Hospital Ramón y Cajal Madrid, Spain aut Gervas J. Equipo CESCA Madrid, Spain aut Otero A. Centro Universitario de Salud Pública Madrid, Spain aut Fernández M Pérez Equipo CESCA Madrid, Spain aut Family Practice Oxford University Press 12/2(1995-06), 159-162 0263-2136 12:2<159 1995 12 famprj https://doi.org/10.1093/fampra/12.2.159 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/fampra/12.2.159 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Olmos L García Centro de Salud ‘La Chopera', Alcobendas, Spain, Madrid, Spain, Madrid, Spain, Madrid, Spain aut NATIONALLICENCE 700 1- Abraira V. Unidad de Bioestadistica clinica, Hospital Ramón y Cajal Madrid, Spain aut NATIONALLICENCE 700 1- Gervas J. Equipo CESCA Madrid, Spain aut NATIONALLICENCE 700 1- Otero A. Centro Universitario de Salud Pública Madrid, Spain aut NATIONALLICENCE 700 1- Fernández M Pérez Equipo CESCA Madrid, Spain aut NATIONALLICENCE 773 0- Family Practice Oxford University Press 12/2(1995-06), 159-162 0263-2136 12:2<159 1995 12 famprj Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford