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| Author | Carmen Sammut |
| Abstract | Background/aim: This clinical audit was performed to confirm the researchers hypothesis that her gynaecological referral rate was high in comparison to that of other general practitioners working in Malta and Holland and to data from international studies. The aim was to study how and for what conditions referrals were made and how these referrals can be improved so as to have the best outcome for patients. Method: Data was collected and analysed from the Transhis electronic medical record database, used in the Malta and Dutch Transition Projects, and compared with data from international studies. Results: Nearly 7% of all patients seen within the researchers private practice were referred. Of these, 17% were gynaecological referrals. Uterine fibromyomata and menstrual disturbances formed the greater part (58%) of the conditions referred to gynaecologists. Conclusion & Recommendations: While the researchers referral rates to all specialities were in line with those of local and Dutch GPs and with other studies performed abroad, her gynae referral rate was much higher. It was recommended that, with respect to gynae referrals, private GPs should have direct access to the required investigations within government practice to be able to give a clearer picture of the patients condition to the gynaecologist and thus facilitate the provision of care. General referrals and their outcome can be improved through better planning of clinics according to availability, communication between primary and secondary care colleagues, and specific teaching related to referrals during GPs vocational training and continuing professional development activities. |
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| Journal | Diploma in Womens Health Irish College of General Practitioners Dublin, Ireland |
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| Key words | audit, gynaecology, referral, primary care |