Elective surgical referral guidelines - background educational material or essential shared decision making tool? A survey of GPs' in England
2011

Survey of GPs' Attitudes Towards Elective Surgical Referral Guidelines

Sample size: 310 publication 10 minutes Evidence: moderate

Author Information

Author(s): Naomi Blundell, Sian Taylor-Phillips, David Spitzer, Steven Martin, Ian Forde, Aileen Clarke

Primary Institution: University of Warwick

Hypothesis

To what extent are referral guidelines used and what influences this?

Conclusion

GPs support referral guidelines but use them primarily for educational purposes rather than in most referral decisions.

Supporting Evidence

  • Over 50% of GPs wanted good access to electronic guidelines.
  • Nearly 90% of GPs agreed that sharing decision making with patients is important.
  • Female GPs were more likely to agree with shared decision making than male GPs.

Takeaway

Doctors in England think referral guidelines are helpful, but many don't use them when deciding to send patients for surgery.

Methodology

A questionnaire was developed and distributed to a stratified random sample of GPs in ten English health districts.

Potential Biases

Potential bias due to low response rate and self-selection of participants.

Limitations

The response rate was only 41.6%, which may not represent all GPs in England.

Participant Demographics

Most respondents were male, over 45 years old, and a quarter had less than ten years of experience.

Statistical Information

P-Value

0.021

Confidence Interval

95%CI = 0.29-0.90

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-12-92

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