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In private clinics, 86.0 of the referrals were to specialist and none was referred to any of the allied health professionals. The types of referrals in private clinics are as reported in Table 11.3.
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specialty the problems were referred to. 5HIHUUDOWRRWRODU\QJRORJ\17VSHFLDOLVWPDGHXSRIWRWDOUHIHUUDOV
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Table 11.3: Types of referrals in private clinics in 2012
Specialty Number
Percentage of all
referrals Percentage
of referral group
Rate per 100 encounters
95 CI n = 99,253
Rate per 100 diagnoses
95 CI n = 120,067
Medical specialist 1398
86.01 100.00
1.41 1.34 - 1.48 1.17 1.10 - 1.23
1RWVSHFLÀHG 1361
83.75 97.37
1.37 1.30 - 1.45 1.14 1.08 - 1.20
ENT 37
2.26 2.63
0.04 0.03 - 0.05 0.03 0.02 - 0.04
Allied Health -
- -
- -
Others 227
13.99 100.00
0.23 0.20 - 0.26 0.19 0.17 - 0.22
Others 154
9.48 67.77
0.16 0.13 - 0.18 0.13 0.11 - 0.15
Dentist 73
4.51 32.23
0.08 0.06 - 0.09 0.06 0.05 - 0.08
Total referrals 1625
100.00 -
1.64 1.56 - 1.72 1.36 1.29 - 1.42
Others include referral to public clinic Note: ENT - Ear, nose and throat otolaryngology
11.3 DIAGNOSES MOST FREQUENTLY REFERRED TO HOSPITAL
All referrals could be linked to one or multiple diagnoses per visit. The availability of this linkage enabled the analysis of the most frequently referred diagnosesproblems to hospitals and specialists. Referral to
hospital was provided in management of 2,872 diagnoses. Table 11.4 shows ten diagnoses most frequently referred to hospital, which were tabulated from both public and private clinics, and presented as overall
results. +LJKULVNSUHJQDQF\ZDVWKHOHDGLQJGLDJQRVHVIRUUHIHUUDOVWRKRVSLWDOZLWKRXWRIHYHU\
100 cases being referred. 6HFRQGZDVGLDEHWHVRIZKLFKPDMRULW\RIWKRVHUHIHUUHGZHUHIHPDOHVZLWKJHVWDWLRQDOGLDEHWHV
at a rate of 6.7 per 100 contacts. 1HRQDWDOMDXQGLFHRURWKHUZLVHFRGHGDV´SHULQDWDOPRUELGLW\RWKHUµZDVRQHRIWKHGLDJQRVHVZLWK
most referrals at 17.0 per 100 contacts. DVHV RI VXVSHFWHG DSSHQGLFLWLV ZKLFK ZDV FRGHG XQGHU IHDU RI GLJHVWLYH GLVHDVH RWKHU KDG
unsurprisingly high referrals as well with a rate of 47.2 per 100 contacts.
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Table 11.4: Ten diagnoses most frequently referred to hospital in 2012
Diagnosis Number
Percentage
a
Rate per 100 encounters
n = 141,593 95 CI
Rate per 100 contacts
b
LCL UCL
Pregnancy high risk 205
7.14 0.15
0.13 0.17
10.39 Diabetes
190 6.63
0.14 0.12
0.15 1.48
Diabetes, gestational 96
3.36 0.07
0.06 0.08
6.66 Diabetes, non-insulin
dependent 94
3.27 0.07
0.05 0.08
0.82 Perinatal morbidity,
other 115
3.99 0.08
0.07 0.10
17.01 Hypertension
86 2.99
0.06 0.05
0.07 0.45
Infectious disease, other NOS
86 2.99
0.06 0.05
0.08 6.55
Fear of digestive disease, other
84 2.93
0.06 0.05
0.07 47.20
Asthma 82
2.85 0.06
0.05 0.07
2.11 Fracture
77 2.66
0.06 0.04
0.07 58.64
Chest pain NOS 73
2.56 0.05
0.04 0.07
66.67 Back problems
73 2.56
0.05 0.04
0.07 3.44
Subtotal 1,071
37.29 0.76
0.71 0.80
- Total diagnoses
referred to hospital 2,872
100.00 2.03
1.96 2.10
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a Percentage of all diagnoses referred to hospital b Proportion of contacts with this diagnosis that was referred to hospital
Multiple ICPC-2 codes see Appendix 2 1RWH126QRWRWKHUZLVHVSHFLÀHG
Perinatal morbidity = neonatal jaundice
11.4 DIAGNOSES MOST FREQUENTLY REFERRED TO A SPECIALIST
Table 11.5 shows the top ten most frequently referred diagnoses to a specialist. Overall, the top few referrals to a specialist were for chronic diseases and high risk pregnancies.
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all hypertension cases were being referred. RRNLQJDWSURSRUWLRQRIFDVHVEHLQJUHIHUUHGUDWHSHUFRQWDFWVDSSUR[LPDWHO\RIWRWDO
cases of fear of heart disease were referred to specialist.
