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Referrals to Psychiatrists

Assessing the Communication Interface Between Psychiatry and Primary Care

Received April 15, 1999; revised June 29, 1999; accepted September 14, 1999. From the American Psychiatric Association; Department of Psychiatry, University of Pittsburgh Medical School, and RAND; the Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH; the Division of General Internal Medicine, South Texas Veterans HealthCare System: The University of Texas Health Science Center, San Antonio, TX; and Center for Research Strategies, Denver, Colorado. Address reprint requests to Ms. Tanielian, RAND, 1200 South Hayes Street, Arlington, VA 22202-5050; email: TerriTanielian{at}rand.org

The Study of Outpatient Referral Patterns was conducted in 1998 to examine the nature of the communication relationship between psychiatrists and primary care physicians regarding outpatient referrals. Nationally representative psychiatrists were surveyed (N=542) regarding their aggregate experience with outpatient referrals from non-psychiatric physicians in the previous 60 days. Data regarding frequency and type of information and mode of communication were gathered. Results indicate that primary care physicians represent a significant source of referrals to psychiatrists and that psychiatrists are generally satisfied with the communication interface with the referring physicians. Psychiatrists' level of satisfaction was related to the quantity and quality of information provided by referring physicians.

Key Words: Primary Care • Referrals

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