[Primary care physicians' referrals to a mental health unit].
OBJECTIVE
To assess the differences between general practitioners (GP) and family and community medicine specialists (FM) in referring patients to the mental health unit (MHU) and the diagnostic agreement between both these groups of doctors and the mental health professionals.


METHODS
Observational crossover study.


METHODS
Primary Care. The 5 health centres in the city of Badajoz.


METHODS
The 660 new patients sent to the MHU during 1994.


RESULTS
Primary care doctors (GP and FM) referred 660 new patients to the MHU, which amounted to 6.4% of the patients on their lists. GPs referred 6%, as against 6.9% by FMs. Average number of patients referred by each GP to the MHU was 11.76 +/- 8.19; and by each FM, 13.34 +/- 8.37 (no significant differences). Nor were there any differences in the sociodemographic features of the patients referred by the two groups of doctors. 64.6% of the patients sent by GPs were actually seen by the psychiatrist and/or psychologist, against 73% of those referred by the FMs. The diagnostic hypothesis was recorded on 94.6% of the referral forms sent by FMs, against 87.3% of those sent by GPs. There was diagnostic agreement for 73.7% of the patients sent by FMs against 43% of those sent by GPs. The pathology diagnosed in the Mental Health Unit was similar for the patients referred by the two groups of doctors.


CONCLUSIONS
We found no significant differences between GP and FM in referral rates to the MHU in Badajoz, although there is greater diagnostic agreement for the patients referred by FMs.
Gamero Samino
M J
MJ
Centro de Salud Universitario La Paz, Unidad Docente de Medicina Familiar y Comunitaria, Badajoz.
Bustos Arenas
J
J
Cano Lozano
M J
MJ
Gutiérrez Casares
J R
JR
Buitrago
F
F
D000328:Adult; D000368:Aged; D003154:Community Medicine; D003937:Diagnosis, Differential; D005194:Family Practice; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis*; D008605:Mental Health Services; D008875:Middle Aged; D010821:Physicians, Family; D012017:Referral and Consultation; D012959:Socioeconomic Factors; D013030:Spain
Derivaciones de médicos de atención primaria a una unidad de salud mental.