Abstract

Examination of Tunisian referral letters for rheumatology consultations

Author(s): Asma Bachali

Aim of the work : ur ideal was to dissect the content and quality of referral letters to rheumatology discussion. Cases and styles: This is across-sectional study conducted on the rheumatology consultations in a tertiary sanitarium over six months (April- October 2014). Cases were canvassed and their rheumatology discussion referral letters anatomized. The applicability of referent reasons, suggested opinion and fresh tests requested previous to reclamation were studied Results: We studied 302 referral letters for rheumatology discussion. The average age of cases was55.34 ± 15 times (13 – 85). The coitus rate M/ F was0.3. All cases consulted for painful symptoms affecting substantially the lumbar chine (20) and knees (20). The current clinical problem was meetly presented in 43 of the referral letters. Only 6 letters (2) were unreadable, 28 letters didn't contain the discussion date (9). General interpreters represented 59 of pertaining croakers. The age and patient history were more detailed in the letters written by croaker specialists (p = 0.002 and p<0.001 independently). The reciprocal examinations were more requested by private sector croakers (p = 0.04) and croaker specialists (p = 0.011). Of the 76 croakers who had proposed an opinion, 42(55) had proposed a correct bone. The applicability of judgments showed no significant difference between GPs and specialists Conclusion: Referral letters earn further attention in order to ameliorate communication between croakers and rheumatologists. Analysis of the quality of referral letters can be part of original and continuing medical education. The referral letters have several failings. A model referral letter has been proposed in this study