title: [Evaluation of a thyroid disease referral protocal in a health area of Madrid].
abstract: BACKGROUND
  The collaboration between healthcare levels is essential for our patients. The aim of this study is to determine the suitability of a referral protocol between the different healthcare levels.
  
  
  METHODS
  A collaboration study was carried out between general practitioners, endocrinologists, and the Department of Biochemistry. After creating the protocol together and implementing it, the suitability was evaluated.
  
  
  RESULTS
  A total of 284 referral sheets were evaluated, 65% were adequately sent, and 51% were referred due to laboratory abnormalities, 42% for morphological alterations, and 7% for both reasons. Just under three-quarters (72%) were referred in the normal way (adequacy 90.6%). The clinical information in the referral sheet was considered adequate in 59%, and the request for ultrasound was adequate in 78%. A significant number (16%) of patients should have been returned to Primary Care.
  
  
  CONCLUSIONS
  It is considered that creating protocols is part of our task. The compliance with the protocol can be improved in Primary Care and specialised care.
authors.affiliation: Centro de Salud Panaderas, Fuenlabrada (Madrid), España. Electronic address: aranzazu.lvillal@salud.madrid.org.
authors.forename: A
authors.initials: A
authors.lastname: López
authors.affiliation: Centro de Salud Las Rozas El Abajón, Las Rozas (Madrid), España.
authors.forename: M T
authors.initials: MT
authors.lastname: Rollán
authors.affiliation: Centro de Salud María Jesús Hereza Cuellar, Leganés (Madrid), España.
authors.forename: M J
authors.initials: MJ
authors.lastname: Bedoya
authors.affiliation: Servicio de Bioquímica, Hospital Universitario Severo Ochoa, Leganés (Madrid), España.
authors.forename: C
authors.initials: C
authors.lastname: García
mesh_terms: D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D058005:General Practitioners / Q000458:organization & administration; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000458:organization & administration; D012017:Referral and Consultation / Q000458:organization & administration*; D013030:Spain; D013959:Thyroid Diseases / Q000175:diagnosis / Q000628:therapy*
keywords: Atención Primaria; Endocrinology; Endocrinología; Glándula tiroides; Primary Care; Protocol; Protocolo; Thyroid