title: Communication at the interface: do better referral letters produce better consultant replies?
abstract: A study of the quality of 637 referral letters from general practitioners (GPs) and corresponding reply letters from medical specialists showed that both types of letters can be improved, and that specific requests by GPs were addressed explicitly by the specialists in only a limited number of cases. Better referral letters resulted only partly in better reply letters. A letter is considered to be of higher quality when a specialist commences a letter with a reference to the specific request by the GP. In conclusion, opportunities for optimal communication should be better used.
authors.affiliation: Centre for Quality of Care Research (WOK), Nijmegen University, PO Box 9101, 6500 HB Nijmegen, The Netherlands.
authors.forename: Richard
authors.initials: R
authors.lastname: Grol
authors.forename: Noor
authors.initials: N
authors.lastname: Rooijackers-Lemmers
authors.forename: Leo
authors.initials: L
authors.lastname: van Kaathoven
authors.forename: Huub
authors.initials: H
authors.lastname: Wollersheim
authors.forename: Henk
authors.initials: H
authors.lastname: Mokkink
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003142:Communication; D003266:Continuity of Patient Care / Q000592:standards; D015709:Correspondence as Topic; D005194:Family Practice / Q000592:standards; D006801:Humans; D007400:Interprofessional Relations; D009426:Netherlands; D012017:Referral and Consultation / Q000592:standards*