How many paediatric referrals to an allergist could be managed by a general practitioner with special interest

摘要: BACKGROUND The concept of a general practitioner with special interest (GPwSI) was first proposed in the 2000 National Health Service Plan, as way providing specialized treatment closer to patient's home and reducing hospital waiting times. Given patchy inadequate provision paediatric allergy services UK, introduction GPwSIs might reduce pressure on existing specialist services. METHODS A total 100 consecutive referrals clinic were reviewed assess what proportion could be managed by GPwSI service predefined range facilities expertise (accurate diagnosis management allergy; skin prick testing; allergen avoidance advice; ability suitability for desensitization). Each referral independently three specialists. Cases initially judged letter then, determine whether appropriate triage decisions made prospectively, cases re-assessed information summarized letter. suitable calculated their characteristics identified. RESULTS At least 42% up 75% based unanimous majority agreement, respectively. appropriateness 79% identified 19% unsuitable because complex or multisystem disease, need knowledge young age. CONCLUSIONS two-fifths our hospital-based dealt clinic, thereby diversifying patient pathway, allowing focus times appointments.