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Referrals from general practitioners to old age psychiatrists

✍ Scribed by Dr. Martin T. Brown; Carol A. Trotter

Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
407 KB
Volume
9
Category
Article
ISSN
0885-6230

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✦ Synopsis

Abstract

A retrospective audit of 209 consecutive general practitioner referrals to an old age psychiatry service was performed to examine the quality of information available at the time of assessment, the diagnostic agreement and the differences between letter and telephone referrals. The information in telephone referrals was less complete, particularly for details of medical history, physical examination and investigations. However, diagnostic agreement was better for telephone than letter referrals. Overall use of cognitive function testing was low and was associated with misdiagnosis between functional and organic illness. In addition, a substantial number of cases of depressive illness were misdiagnosed as anxiety disorders or other functional illnesses. Our study suggests the need for clearer guidelines for referral procedures and continuing efforts to improve communication between general practitioners and old age psychiatrists.

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