title: Patients with colorectal cancer - a qualitative study of referral pathways and continuing care.
abstract: BACKGROUND
  This article explores the views of general practitioners on their referral of colorectal cancer patients following diagnosis to specialist surgeons.
  
  
  METHODS
  Sampling was purposive. Nineteen GPs representing urban and rural areas participated in four focus groups.
  
  
  RESULTS
  General practitioners viewed their relationship with surgeons to be of prime importance in the decision about whom to refer. This relationship allowed faster referrals and improved feedback from the specialist to the GP. General practitioners preferred referral to the private health services because they perceived delays in the public system and that referral and communication was easier with private specialists. Neither the volume of colorectal cancer work nor the availability of a multidisciplinary team influenced their decision making.
  
  
  CONCLUSIONS
  The relationship and communication between GP and surgeon are important in facilitating the referral pathway and the continuing role that many GPs would like to have in the care of their patients.
authors.affiliation: Centre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales. m.f.harris@unsw.edu.au
authors.forename: Mark F
authors.initials: MF
authors.lastname: Harris
authors.forename: Shane
authors.initials: S
authors.lastname: Pascoe
authors.forename: Lisa
authors.initials: L
authors.lastname: Crossland
authors.forename: Justin
authors.initials: J
authors.lastname: Beilby
authors.forename: Craig
authors.initials: C
authors.lastname: Veitch
authors.forename: Allan
authors.initials: A
authors.lastname: Spigelman
authors.forename: David
authors.initials: D
authors.lastname: Weller
mesh_terms: D001315:Australia; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003107:Colorectal Surgery; D003266:Continuity of Patient Care; D005260:Female; D058006:General Practice; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D012017:Referral and Consultation