title: [Referral to specialists by pediatric clinics at an urban health center].
abstract: OBJECTIVE
  To find the characteristics of paediatric referrals to the referral hospital.
  
  
  METHODS
  An epidemiological study of a crossover type.
  
  
  METHODS
  Two paediatric clinics at an urban Health Centre.
  
  
  METHODS
  A consecutive sample of 384 referrals during 1992.
  
  
  RESULTS
  3.94% of patients were referred. Nursing babies were the most commonly referred group. The commonest diagnostic groups were: congenital anomalies (25.5%), Neurology and sense organs (24%) and Respiratory Pathology (15.9%). The clinics to which patients were most commonly referred were: Traumatology (25.5%), Ophthalmology (21.4%) and ENT (21.4%). 80.6% of the Traumatology referrals were for congenital anomalies. 72.9% were referred for confirmation of the diagnosis. 56.8% came from on-demand consultations and 43.2% from appointments. 84.6% were of a normal character. In 27.3% there was a written report from the specialist.
  
  
  CONCLUSIONS
  Congenital anomalies made by the most frequently referred diagnostic group; and Traumatology the most consulted specialty. There was a low instance of referral at the patient's own request. There was a high number of patients referred from among patients with appointments. There was scant information from the specialist to the Paediatrician.
authors.affiliation: Centro de Salud Soria Norte, Unidad Docente de Medicina Familiar y Comunitaria de Soria.
authors.forename: J
authors.initials: J
authors.lastname: Díez Sáinz
authors.forename: M
authors.initials: M
authors.lastname: Machín Valtueña
authors.forename: M
authors.initials: M
authors.lastname: Sánchez de Dois
authors.forename: P
authors.initials: P
authors.lastname: Marco Catalán
authors.forename: E
authors.initials: E
authors.lastname: Arbesu Fernández
mesh_terms: D002648:Child; D002662:Child Health Services; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012017:Referral and Consultation; D013030:Spain; D014504:Urban Health
vernacular_title: Derivaciones a especialistas de consultas pediátricas de un centro de salud urbano.