{"id":"https://openalex.org/W92526527","doi":"https://doi.org/10.22605/rrh413","title":"What factors influence a family physician's decision to refer a patient to a specialist?","display_name":"What factors influence a family physician's decision to refer a patient to a specialist?","publication_year":2005,"publication_date":"2005-07-17","ids":{"openalex":"https://openalex.org/W92526527","doi":"https://doi.org/10.22605/rrh413","mag":"92526527","pmid":"https://pubmed.ncbi.nlm.nih.gov/16029113"},"language":"en","primary_location":{"id":"doi:10.22605/rrh413","doi":"https://doi.org/10.22605/rrh413","is_oa":true,"landing_page_url":"https://doi.org/10.22605/rrh413","pdf_url":"https://www.rrh.org.au/journal/download/pdf/413/","source":{"id":"https://openalex.org/S2477089890","display_name":"Rural and Remote Health","issn_l":"1445-6354","issn":["1445-6354"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310317996","host_organization_name":"Deakin University","host_organization_lineage":["https://openalex.org/P4310317996"],"host_organization_lineage_names":["Deakin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rural and Remote Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.rrh.org.au/journal/download/pdf/413/","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Gregory Iverson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330654748","display_name":"Madigan Army Medical Center","ror":"https://ror.org/01sfyq865","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I1330654748","https://openalex.org/I2800250139","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregory Iverson","raw_affiliation_strings":["Madigan Army Medical Center , Tacoma, WA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Madigan Army Medical Center , Tacoma, WA, USA","institution_ids":["https://openalex.org/I1330654748"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059031373","display_name":"Samuel Taylor Coleridge","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330654748","display_name":"Madigan Army Medical Center","ror":"https://ror.org/01sfyq865","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I1330654748","https://openalex.org/I2800250139","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samuel Coleridge","raw_affiliation_strings":["Madigan Army Medical Center,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Madigan Army Medical Center,","institution_ids":["https://openalex.org/I1330654748"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046776700","display_name":"Kimberly G. Fulda","orcid":"https://orcid.org/0000-0002-5096-2983","observed_orcids":["https://orcid.org/0000-0002-5096-2983"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kimberly Fulda","raw_affiliation_strings":["Texas College of Osteopathic Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Texas College of Osteopathic Medicine","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067613581","display_name":"John C. Licciardone","orcid":"https://orcid.org/0000-0003-1993-0323","observed_orcids":["https://orcid.org/0000-0003-1993-0323"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"John Licciardone","raw_affiliation_strings":["Texas College of Osteopathic Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Texas College of Osteopathic Medicine","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.3305,"has_fulltext":true,"cited_by_count":22,"citation_normalized_percentile":{"value":0.92040739,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"5","issue":"3","first_page":"413","last_page":"413"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.9452999830245972,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.9452999830245972,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.05400000140070915,"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"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/specialist-referral","display_name":"specialist referral","score":0.8289999961853027},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.9020000100135803},{"id":"https://openalex.org/keywords/referral-rates","display_name":"referral rates","score":0.765999972820282},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.5640000104904175},{"id":"https://openalex.org/keywords/osteopathic-physicians","display_name":"osteopathic physicians","score":0.6150000095367432},{"id":"https://openalex.org/keywords/medical-residents","display_name":"medical residents","score":0.39899998903274536},{"id":"https://openalex.org/keywords/perceived-workload","display_name":"perceived workload","score":0.7400000095367432},{"id":"https://openalex.org/keywords/physician-characteristics","display_name":"physician characteristics","score":0.5830000042915344},{"id":"https://openalex.org/keywords/specialty-care-utilization","display_name":"specialty care utilization","score":0.41499999165534973},{"id":"https://openalex.org/keywords/practice-type","display_name":"practice type","score":0.3619999885559082},{"id":"https://openalex.org/keywords/years-in-practice","display_name":"years of practice","score":0.765999972820282},{"id":"https://openalex.org/keywords/residency-training","display_name":"residency training","score":0.41499999165534973},{"id":"https://openalex.org/keywords/american-academy-of-family-physicians","display_name":"American Academy of Family Physicians","score":0.9980000257492065},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.35899999737739563},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.3569999933242798}],"concepts":[{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5537897348403931},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.45383715629577637},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.40043288469314575},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.394949346780777},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3571906089782715}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","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":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008511","descriptor_name":"Medicine","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011364","descriptor_name":"Professional Practice","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013038","descriptor_name":"Specialization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.22605/rrh413","doi":"https://doi.org/10.22605/rrh413","is_oa":true,"landing_page_url":"https://doi.org/10.22605/rrh413","pdf_url":"https://www.rrh.org.au/journal/download/pdf/413/","source":{"id":"https://openalex.org/S2477089890","display_name":"Rural and Remote Health","issn_l":"1445-6354","issn":["1445-6354"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310317996","host_organization_name":"Deakin University","host_organization_lineage":["https://openalex.org/P4310317996"],"host_organization_lineage_names":["Deakin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rural and Remote Health","raw_type":"journal-article"},{"id":"pmid:16029113","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16029113","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":"Rural and remote health","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.22605/rrh413","doi":"https://doi.org/10.22605/rrh413","is_oa":true,"landing_page_url":"https://doi.org/10.22605/rrh413","pdf_url":"https://www.rrh.org.au/journal/download/pdf/413/","source":{"id":"https://openalex.org/S2477089890","display_name":"Rural and Remote Health","issn_l":"1445-6354","issn":["1445-6354"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310317996","host_organization_name":"Deakin University","host_organization_lineage":["https://openalex.org/P4310317996"],"host_organization_lineage_names":["Deakin University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Rural and Remote Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.6240000128746033,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W92526527.pdf","grobid_xml":"https://content.openalex.org/works/W92526527.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W101279576","https://openalex.org/W1458158334","https://openalex.org/W1895256076","https://openalex.org/W1985627633","https://openalex.org/W1991372790","https://openalex.org/W2007007486","https://openalex.org/W2035817077","https://openalex.org/W2048084118","https://openalex.org/W2051793722","https://openalex.org/W2091528447","https://openalex.org/W2091611292","https://openalex.org/W2127273836","https://openalex.org/W2142295880","https://openalex.org/W2152917407","https://openalex.org/W2162562692","https://openalex.org/W2243864310","https://openalex.org/W2418063521"],"related_works":["https://openalex.org/W135094908","https://openalex.org/W3213881454","https://openalex.org/W4396748291","https://openalex.org/W2048084118","https://openalex.org/W2142295880","https://openalex.org/W2104319648","https://openalex.org/W2039228057","https://openalex.org/W1775184231","https://openalex.org/W2011181903","https://openalex.org/W1991372790"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Variability":[1],"in":[2,125,161,197,302,313],"the":[3,24,49,63,72,88,126,226,252,259,295,298],"referral":[4,111,139,147,198,292,309],"patterns":[5],"of":[6,15,48,52,62,66,119,142,164,182,225,258,297],"primary":[7],"care":[8],"physicians":[9,312],"is":[10],"well":[11],"established.":[12],"The":[13,194,280],"objective":[14],"this":[16],"study":[17],"was":[18,113,256,294],"to":[19,32,43,80,133,177,185],"determine":[20,134],"which":[21,135],"factors":[22,136],"have":[23,307],"most":[25],"impact":[26],"on":[27],"a":[28,34,285,290],"family":[29],"physician's":[30],"decision":[31],"refer":[33],"patient.":[35],"METHODS:":[36],"In":[37],"March":[38],"2002,":[39],"surveys":[40,175],"were":[41,76,131,149,188,200],"mailed":[42],"1200":[44,58],"randomly":[45,59],"selected":[46,60],"members":[47,61,179,187],"American":[50,64],"College":[51],"Osteopathic":[53],"Family":[54,67],"Physicians":[55,68,301],"(ACOFP)":[56],"and":[57,84,96,107,166,173,180,223,236,269,305],"Academy":[65],"(AAFP).":[69],"To":[70],"increase":[71],"response":[73,192],"rate,":[74],"there":[75],"two":[77],"follow-up":[78],"mailings":[79],"non-responders":[81],"at":[82],"2":[83],"4":[85],"weeks":[86],"following":[87],"initial":[89],"mailing.":[90],"Main":[91],"outcome":[92],"measures":[93],"included:":[94],"physician":[95,138],"practice":[97,104,167,227,260,299],"characteristics":[98],"(ie,":[99],"age,":[100],"sex,":[101],"degree,":[102],"training,":[103,157],"type,":[105],"population)":[106],"perceived":[108,158],"workload.":[109],"'High'":[110],"rate":[112,293],"defined":[114],"as":[115],"11%":[116],"or":[117],"more":[118,237,270],"patients":[120],"seen":[121],"(the":[122],"top":[123],"quartile":[124],"survey).":[127],"Logistic":[128],"regression":[129],"models":[130],"used":[132],"influence":[137],"rate.":[140],"Variables":[141],"interest":[143],"for":[144,201,248],"predicting":[145],"high":[146,291],"rates":[148,199,310],"age":[150],"group,":[151],"gender,":[152],"DO":[153,202],"versus.":[154],"MD,":[155],"residency":[156,211,215],"workload,":[159],"years":[160],"practice,":[162,165],"type":[163],"site":[168],"population.":[169],"RESULTS:":[170],"Four":[171],"hundred":[172],"fifty":[174],"sent":[176,184],"ACOFP":[178],"419":[181],"those":[183],"AAFP":[186],"returned":[189],"(37%":[190],"overall":[191],"rate).":[193],"significant":[195,254,286],"differences":[196],"versus":[203,213],"MD":[204],"(OR":[205,217,230,240,263,273],"=":[206,218,231,241,264,274],"1.46;":[207],"95%":[208,220,233,243,266,276],"CI,":[209,221,234,244,277],"1.07-1.98);":[210],"trained":[212,216],"not":[214],"1.40;":[219],"1.00-1.97);":[222],"population":[224,257,296],"site:":[228],"25,001-100,000":[229,262],"1.56;":[232],"1.05-2.31)":[235],"than":[238,271,311],"100,000":[239,272],"1.61;":[242],"1.12-2.32).":[245],"After":[246],"adjustment":[247],"potential":[249],"confounding":[250],"variables,":[251],"only":[253,281],"finding":[255],"site,":[261],"1.88;":[265],"CI":[267],"1.22-2.90)":[268],"1.71;":[275],"1.14-2.57).":[278],"CONCLUSIONS:":[279],"factor":[282],"that":[283],"showed":[284],"association":[287],"with":[288],"having":[289],"site.":[300],"larger":[303],"towns":[304],"cities":[306],"higher":[308],"small":[314],"towns.":[315]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":2},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
