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ISRCTN
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ISRCTN60533639
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ClinicalTrials.gov identifier
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Public title
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'In-house' referrals : a primary care alternative to immediate secondary care referrals.
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Scientific title
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Acronym
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N/A
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Serial number at source
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PSI06-24
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Study hypothesis
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Methods are needed to ensure that those patients referred from primary to secondary care are those most likely to benefit. In-house referral is the referral of a patient by a general practitioner to another general practitioner within the same practice for a second opinion on the need for secondary care referral. To describe whether in-house referral is practical and acceptable to patients, and the health outcomes for patients.
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Ethics approval
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Not provided at time of registration
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Study design
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Randomised controlled trial
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Countries of recruitment
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United Kingdom
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Disease/condition/study domain
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Not applicable: Not applicable
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Participants - inclusion criteria
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Patients judged to need hospital referral by their general practitioners. In the intervention practices, these patients were initially referred `in-house¿ to another GP in the same practice. In control practices, patients were referred directly to hospital.
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Participants - exclusion criteria
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Not provided at time of registration
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Anticipated start date
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01/04/1995
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Anticipated end date
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01/04/1997
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Status of trial
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Completed
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Patient information material
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Target number of participants
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Not provided at time of registration
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Interventions
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Practices were randomized into an intervention or a control group. In intervention practices, patients with certain conditions who were about to be referred to secondary care were referred in-house. If the second clinician agreed referral was appropriate the patient was referred on to secondary care. In control practices patients were referred in the usual fashion. Patient satisfaction and health status was measured at the time of referral, 6 months and one year.
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Primary outcome measure(s)
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1. Health status: SF 36
2. Patient Satisfaction: MISS
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Secondary outcome measure(s)
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Not provided at time of registration
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Sources of funding
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NHS Primary and Secondary Care Interface National Research and Development Programme
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Trial website
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Publications
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Contact name
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Dr
Paul
Kinnersley
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Address
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Department of General Practice
University of Wales College of Medicine
Llanedeyrn Health Centre
Maelfa
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City/town
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Cardiff
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Zip/Postcode
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CF23 9PN
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Country
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United Kingdom
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Tel
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+44 (0)29 2054 1133
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Fax
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+44 (0)29 2954 0129
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Email
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Kinnersley@cf.ac.uk
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Sponsor
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Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
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Address
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The Department of Health
Richmond House
79 Whitehall
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City/town
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London
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Zip/Postcode
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SW1A 2NL
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Country
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United Kingdom
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Tel
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+44 (0)20 7307 2622
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Fax
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+44 (0)20 7307 2623
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Email
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dhmail@doh.gsi.org.uk
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Sponsor website:
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http://www.doh.gov.uk
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Date applied
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23/01/2004
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Last edited
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21/11/2005
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Date ISRCTN assigned
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23/01/2004
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