GPs' reasons for referral of patients with chest pain

August 2017

General Practitioners

Country of origin: Belgium

Prompt diagnosis of an acute coronary syndrome is very important and urgent referral to a hospital is imperative because fast treatment can be life-saving and increase the patient's life expectancy and quality of life. The aim of a recent study was to identify GPs' reasons for referring or not referring patients presenting with chest pain.

In a semi-structured interview, 21 GPs were asked to describe why they do or do not refer a patient presenting with chest pain. Interviews were taped, transcribed and qualitatively analysed.

Histories of 21 patients were studied. Six were not referred, seven were referred to a cardiologist and eight to the emergency department. GPs' reasons for referral were background knowledge about the patient, patient's age and cost-benefit estimation, the perception of a negative attitude from the medical rescue team, recent patient contact with a cardiologist without detection of a coronary disease and the actual presentation of signs and symptoms, gut feeling, clinical examination and ECG results.

The article concludes that this study suggests that GPs believe they do not exclusively use the 'classical' signs and symptoms in their decision-making process for patients presenting with chest pain. Background knowledge about the patient, GPs' personal ideas and gut feeling are also important.

The BMC Family Practice article is available online.

Resources

Health communication activities February 2019 The Office of Disease Prevention and Health Promotion (ODPHP) website: Health Communication Activities. This online...
The Fat Lie February 2019 Summary:
The rise in obesity in recent decades is popularly believed to be the result of increased consumption of...
Fifth Of Allergy Sufferers Have Taken Time Off Work February 2019 A fifth of people say they have suffered from a nasal allergy for over 20 years.
55% of those surveyed said their first...
Patient UK February 2019 Patient UK, a partnership of two GPs from Newcastle Upon Tyne, directs non-medical people in the UK to good quality web...
Free Medical Books January 2019 Over the next few years, many important medical textbooks are to be made available online, free and in full-text. This...
Safety Features Of GP Computer Systems January 2019 A survey and study on the safety features required in GP computer systems, commissioned by the NPSA and published by the...
Meningitis C leaflet January 2019 This flyer is suitable for parents and for health care workers to explain the changes to the MenC programme from 1st July...
OrthoFlow pocket orthopaedic specialist. January 2019 Welcome to OrthoFlow…the orthopaedic specialist in your pocket! This new way of learning is designed to help you diagnose...
inPractice® Oncology. January 2019 inPractice® Oncology is the only point-of-care clinical reference designed to meet the unique needs of specialists. Full...
Federation of Drug and Alcohol Professionals January 2019 The Federation of Drug and Alcohol Professionals (FDAP) web portal for practitioners. The site includes sections on the...
Search by Keyword