{"id":"https://openalex.org/W2020590101","doi":"https://doi.org/10.1136/bmj.1.6110.417","title":"Consultant physician to outpatients.","display_name":"Consultant physician to outpatients.","publication_year":1978,"publication_date":"1978-02-18","ids":{"openalex":"https://openalex.org/W2020590101","doi":"https://doi.org/10.1136/bmj.1.6110.417","mag":"2020590101","pmid":"https://pubmed.ncbi.nlm.nih.gov/624039","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1602966"},"language":"en","primary_location":{"id":"doi:10.1136/bmj.1.6110.417","doi":"https://doi.org/10.1136/bmj.1.6110.417","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmj.1.6110.417","pdf_url":"https://www.bmj.com/content/bmj/1/6110/417.full.pdf","source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.bmj.com/content/bmj/1/6110/417.full.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5104074202","display_name":"John W. Todd","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"J W Todd","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5104074202"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":6.0365,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.95223749,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":null,"biblio":{"volume":"1","issue":"6110","first_page":"417","last_page":"420"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.6089000105857849,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.6089000105857849,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.2768999934196472,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.030400000512599945,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/outpatient-referral","display_name":"outpatient referral","score":0.5529999732971191},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.7710000276565552},{"id":"https://openalex.org/keywords/medical-specialists","display_name":"specialist physicians","score":0.621999979019165},{"id":"https://openalex.org/keywords/physician-role","display_name":"physician role","score":0.5230000019073486},{"id":"https://openalex.org/keywords/mental-disorders","display_name":"mental illness","score":0.6110000014305115},{"id":"https://openalex.org/keywords/waiting-lists","display_name":"waiting lists","score":0.5090000033378601},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.3580000102519989}],"concepts":[{"id":"https://openalex.org/C73440236","wikidata":"https://www.wikidata.org/wiki/Q194034","display_name":"Psyche","level":2,"score":0.6244475841522217},{"id":"https://openalex.org/C200288055","wikidata":"https://www.wikidata.org/wiki/Q2621792","display_name":"Element (criminal law)","level":2,"score":0.4965665936470032},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4818169176578522},{"id":"https://openalex.org/C14036430","wikidata":"https://www.wikidata.org/wiki/Q3736076","display_name":"Function (biology)","level":2,"score":0.454512357711792},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4515655040740967},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.417266845703125},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3964485228061676},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3329283595085144},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.06805664300918579},{"id":"https://openalex.org/C11171543","wikidata":"https://www.wikidata.org/wiki/Q41630","display_name":"Psychoanalysis","level":1,"score":0.059091269969940186},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.053728967905044556},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C78458016","wikidata":"https://www.wikidata.org/wiki/Q840400","display_name":"Evolutionary biology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003253","descriptor_name":"Consultants","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003933","descriptor_name":"Diagnosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008511","descriptor_name":"Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010819","descriptor_name":"Physician's Role","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011602","descriptor_name":"Psychophysiologic Disorders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D012380","descriptor_name":"Role","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013038","descriptor_name":"Specialization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1136/bmj.1.6110.417","doi":"https://doi.org/10.1136/bmj.1.6110.417","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmj.1.6110.417","pdf_url":"https://www.bmj.com/content/bmj/1/6110/417.full.pdf","source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},{"id":"pmid:624039","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/624039","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British medical journal","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1136/bmj.1.6110.417","doi":"https://doi.org/10.1136/bmj.1.6110.417","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmj.1.6110.417","pdf_url":"https://www.bmj.com/content/bmj/1/6110/417.full.pdf","source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.46810001134872437,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2020590101.pdf","grobid_xml":"https://content.openalex.org/works/W2020590101.grobid-xml"},"referenced_works_count":4,"referenced_works":["https://openalex.org/W194018791","https://openalex.org/W1967890391","https://openalex.org/W2082399926","https://openalex.org/W4238659223"],"related_works":["https://openalex.org/W1973067079","https://openalex.org/W2419004428","https://openalex.org/W4230024077","https://openalex.org/W2331456841","https://openalex.org/W7099347868","https://openalex.org/W1970883767","https://openalex.org/W2066676911","https://openalex.org/W2056914355","https://openalex.org/W1967526341","https://openalex.org/W2504172904"],"abstract_inverted_index":{"Analysis":[0],"of":[1,4,17,36,55,127,129],"the":[2,5,14,25,37,56,75,80,99,107,117],"records":[3],"last":[6],"450":[7],"outpatients":[8],"referred":[9],"to":[10,86,95,105],"me":[11],"showed":[12],"that":[13],"basic":[15],"disorder":[16],"at":[18],"least":[19],"one":[20],"in":[21,24,34],"three":[22],"lay":[23],"psyche,":[26],"and":[27,98,109,138],"there":[28,120],"was":[29],"a":[30,43,63,83,87,123],"large":[31],"emotional":[32],"element":[33],"many":[35,139],"others.":[38],"None":[39],"were":[40],"put":[41],"on":[42],"waiting":[44],"list":[45],"for":[46],"admission.":[47],"Not":[48],"only":[49],"should":[50],"physicians":[51,142],"be":[52,122,144],"generalists":[53],"most":[54,67,101],"time":[57],"(whether":[58],"or":[59],"not":[60],"they":[61],"have":[62],"special":[64],"interest)":[65],"but":[66],"medical":[68],"problems":[69],"are":[70],"best":[71],"dealt":[72],"with":[73,132],"by":[74],"GP.":[76],"Only":[77],"occasionally":[78],"can":[79],"physician":[81],"attach":[82],"precise":[84],"diagnosis":[85],"patient":[88,108],"who":[89],"has":[90],"been":[91],"an":[92],"obscure":[93],"problem":[94],"his":[96,111],"GP,":[97],"physician's":[100],"important":[102],"function":[103],"is":[104],"reassure":[106],"explain":[110],"symptoms.":[112],"Routine":[113],"investigations":[114],"seldom":[115],"benefit":[116],"patient.":[118],"If":[119],"could":[121],"more":[124],"equitable":[125],"distribution":[126],"GPs":[128],"high":[130],"quality":[131],"good":[133],"back-up":[134],"facilities":[135],"fewer":[136,140],"general":[137],"specialist":[141],"would":[143],"needed.":[145]},"counts_by_year":[],"updated_date":"2026-11-03T10:50:19.383937","created_date":"2016-06-24T00:00:00"}