title: Care partnerships between family physicians and rheumatologists.
abstract: OBJECTIVE
  To describe care partnerships between family physicians and rheumatologists.
  
  
  METHODS
  A random sample (20%, n = 478) of family physicians was mailed a questionnaire, asking if there was at least 1 particular rheumatologist to whom the physician tended to refer patients. If the answer was affirmative, the physician would be considered as having a "care partnership" with that rheumatologist. The family physician then rated, on a 5-point scale, factors of importance regarding the relationship with that rheumatologist.
  
  
  RESULTS
  The questionnaire was completed by 84/462 (18.2%) of family physicians; 52/84 (61.9%) reported having rheumatology care partnerships according to our definition. Regarding interactions with rheumatologists, most respondents rated the following as important (score ≥ 4): adequate communication and information exchange (44/50, 88.0%); waiting time for new patients (40/50, 80.0%); clear and appropriate balance of responsibilities (39/49, 79.6%); and patient feedback and preferences (34/50, 68%). Male family physicians were more likely than females to accord high importance to personal knowledge of the rheumatologist, and to physical proximity of the rheumatologist's practice. Regarding relationships with rheumatologists, 30/50 (60.0%) of respondents felt communication and information exchange were adequate, and 35/50 (70.0%) felt they had a clear balance of responsibilities.
  
  
  CONCLUSIONS
  Almost two-thirds of family physicians have rheumatology care partnerships, according to our definition. In this partnership, establishing adequate communication and shorter waiting time seem of paramount importance to family physicians. A balanced sharing of responsibilities and patients' preferences are also valued. Although many physicians reported adequate communication and clear and appropriate balance of responsibilities in their current interactions with rheumatologists, there appears to be room for improvement.
authors.affiliation: Montreal General Hospital, Clinical Epidemiology, 1650 Cedar Ave., L10-424, Montreal H3G 1A4, Quebec, Canada.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Lou
authors.forename: Mirella
authors.initials: M
authors.lastname: DE Civita
authors.forename: Debbie
authors.initials: D
authors.lastname: Ehrmann Feldman
authors.forename: Asvina
authors.initials: A
authors.lastname: Bissonauth
authors.forename: Sasha
authors.initials: S
authors.lastname: Bernatsky
mesh_terms: D000328:Adult; D005194:Family Practice / Q000458:organization & administration / Q000639:trends*; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D009313:National Health Programs / Q000458:organization & administration / Q000639:trends; D010317:Partnership Practice / Q000458:organization & administration / Q000639:trends*; D010348:Patient Care Team / Q000458:organization & administration / Q000639:trends; D010818:Practice Patterns, Physicians' / Q000458:organization & administration / Q000639:trends; D011787:Quality of Health Care / Q000639:trends; D011792:Quebec; D012017:Referral and Consultation / Q000458:organization & administration / Q000639:trends*; D012219:Rheumatology / Q000458:organization & administration / Q000639:trends*; D011795:Surveys and Questionnaires / Q000592:standards