[Evaluation of a thyroid disease referral protocal in a health area of Madrid]

Semergen. 2017 Nov-Dec;43(8):569-573. doi: 10.1016/j.semerg.2016.05.010. Epub 2016 Jul 18.
[Article in Spanish]

Abstract

Introduction: The collaboration between healthcare levels is essential for our patients. The aim of this study is to determine the suitability of a referral protocol between the different healthcare levels.

Methods: A collaboration study was carried out between general practitioners, endocrinologists, and the Department of Biochemistry. After creating the protocol together and implementing it, the suitability was evaluated.

Results: A total of 284 referral sheets were evaluated, 65% were adequately sent, and 51% were referred due to laboratory abnormalities, 42% for morphological alterations, and 7% for both reasons. Just under three-quarters (72%) were referred in the normal way (adequacy 90.6%). The clinical information in the referral sheet was considered adequate in 59%, and the request for ultrasound was adequate in 78%. A significant number (16%) of patients should have been returned to Primary Care.

Conclusions: It is considered that creating protocols is part of our task. The compliance with the protocol can be improved in Primary Care and specialised care.

Keywords: Atención Primaria; Endocrinology; Endocrinología; Glándula tiroides; Primary Care; Protocol; Protocolo; Thyroid.

MeSH terms

  • Cooperative Behavior*
  • Delivery of Health Care / organization & administration*
  • Female
  • General Practitioners / organization & administration
  • Humans
  • Interdisciplinary Communication
  • Male
  • Middle Aged
  • Primary Health Care / organization & administration
  • Referral and Consultation / organization & administration*
  • Spain
  • Thyroid Diseases / diagnosis
  • Thyroid Diseases / therapy*