title: [The referral system: a study on relations between general practitioners and specialists].
abstract: BACKGROUND
  To describe the general practitioners referral patterns. There is special emphasis in the delay between the referral and the first consultation with the specialist. Also we consider other aspects of the coordination between both levels of care.
  
  
  METHODS
  Cross-sectional study upon 8.095 referrals from 242 spanish doctors.
  
  
  RESULTS
  The referral rate was 6.63%, higher in the 15-44 age group and also for men. We find a huge variability in the referral rates among doctors. The referral rates are higher to surgical specialties. The mean delay between referral and specialist appointment was 11 days. The general practitioners didn't receive communication from the specialists in 23.5 of the referrals.
  
  
  CONCLUSIONS
  A considerable range of referral rates has been identified. There is a poor continuity and coordination in the patient care.
authors.affiliation: Centro de Salud La Chopera, Alcobendas, Madrid.
authors.forename: L
authors.initials: L
authors.lastname: García Olmos
authors.forename: J
authors.initials: J
authors.lastname: Gervas Camacho
authors.forename: A
authors.initials: A
authors.lastname: Otero
authors.forename: M
authors.initials: M
authors.lastname: Pérez Fernández
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005194:Family Practice; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008511:Medicine; D008875:Middle Aged; D012017:Referral and Consultation; D013030:Spain; D013038:Specialization; D011795:Surveys and Questionnaires; D013997:Time Factors
vernacular_title: La demanda derivada: un estudio de la relación entre médicos generales y especialistas.