Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1990 April; 83(4): 237–240.
PMCID: PMC1292610

The general practitioner's use and expectations of an accident and emergency department.


In an attempt to establish what the general practitioner expects from an accident and emergency department, and how closely the service provided correlates with that view, a 12-point questionnaire was sent to the general practitioners in the Glasgow Royal Infirmary catchment area. Out of the 61.2% of general practitioners who replied, the majority wish to have responsibility for their own patients for conditions which are neither accidents nor emergencies. There is less agreement as to how much should be done within an accident and emergency department and on the appropriate modes of referral and communication between the general practitioner and the hospital service. Further consultation and cooperation are necessary to interpret and resolve these differences.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (782K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • BLACKWELL B. Why patients come to a casualty department. Lancet. 1962 Feb 17;1(7225):369–371. [PubMed]
  • Mackenzie HM. Accident department or general practice? Br Med J (Clin Res Ed) 1986 Feb 22;292(6519):a559–559. [PMC free article]
  • Crombie DL. A Casualty Survey. J Coll Gen Pract Res Newsl. 1959 Nov;2(4):346–356. [PMC free article] [PubMed]
  • Myers P. Management of minor medical problems and trauma: general practice or hospital? J R Soc Med. 1982 Nov;75(11):879–883. [PMC free article] [PubMed]
  • Davison AG, Hildrey AC, Floyer MA. Use and misuse of an accident and emergency department in the East End of London. J R Soc Med. 1983 Jan;76(1):37–40. [PMC free article] [PubMed]
  • Cummins RO, Jarman B, White PM. Do general practitioners have different "referral thresholds"? Br Med J (Clin Res Ed) 1981 Mar 28;282(6269):1037–1039. [PMC free article] [PubMed]
  • Hansagi H, Carlsson B, Olsson M, Edhag O. Trial of a method of reducing inappropriate demands on a hospital emergency department. Public Health. 1987 Mar;101(2):99–105. [PubMed]
  • Bentzen N, Christiansen T, Pedersen KM. Choice of care for minor trauma: hospital or general practice? Fam Pract. 1987 Jun;4(2):91–96. [PubMed]
  • Jones CS, McGowan A. Self referral to an accident and emergency department for another opinion. BMJ. 1989 Apr 1;298(6677):859–862. [PMC free article] [PubMed]
  • Sherry M, Edmunds S, Touquet R. The reliability of patients in delivering their letter from the hospital accident and emergency department to their general practitioner. Arch Emerg Med. 1985 Sep;2(3):161–164. [PMC free article] [PubMed]
  • Reilly PM. Primary care and accident and emergency departments in an urban area. J R Coll Gen Pract. 1981 Apr;31(225):223–230. [PMC free article] [PubMed]
  • Accident department or general practice? Br Med J (Clin Res Ed) 1986 Feb 22;292(6519):558–559. [PMC free article] [PubMed]
  • Andersen NA, Gaudry PL. Patients attending an accident and emergency department for primary medical care. Fam Pract. 1984 Jun;1(2):79–85. [PubMed]
  • Leaman AM. Re: The use of the accident and emergency department. Arch Emerg Med. 1987 Dec;4(4):248–248. [PMC free article] [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press