The consultation and referral process - A report from NEON


The consultation and referral process - A report from NEON


Bourguet C C; Gilchrist V; McCord G; Grp Neon Res


Journal of Family Practice




BACKGROUND. Consultation and referral are essential components of the practice of primary care. Despite this, little is known about the factors that contribute to the success of a referral. We examined the short-term outcomes of communication between family physicians and consultants during the referral process. METHODS. The study setting was six family practice centers in northeastern Ohio. All eligible physicians at each center participated in data collection by means of a card study. Data was recorded on any patient who received a referral to a physician or nonphysician provider during the month of July 1994. One year later, referrals were followed up by physician questionnaire. RESULTS. Three hundred nine of 5172 total patients were referred (5.97 referrals per 100 office visits). At follow-up, the family physicians reported that 63% of patients had visited the consultant, 14% had not, and the physician had no knowledge of the actions taken by the other 23%. The referring physician received feedback from the consultant regarding 55% of the patients referred. Receipt of feedback was strongly related to communication by the family physician to the consultant at the time of referral. Physicians who received feedback were the most satisfied with communication from the consultant and the care their patient had received. CONCLUSIONS. Primary care physicians can influence the likelihood of receiving feedback from a consultant by initiating communication with the consultant. A referral wherein the physicians involved do not communicate with one another results in physician dissatisfaction. Primary care physicians must practice strategies to improve the referral process.


outcomes; communication; General & Internal Medicine; physicians; primary care; rates; information; patterns; family practice; continuity of patient care; family practice; general-practitioners; interprofessional relations; physician practice patterns; referral and consultation; specialist




Journal Article or Conference Abstract Publication

URL Address


Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url:


Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).








Bourguet C C; Gilchrist V; McCord G; Grp Neon Res, “The consultation and referral process - A report from NEON,” NEOMED Bibliography Database, accessed September 22, 2023,