# Table 4 Introducing the referral issue in the consultations and corresponding mean referral rates1

GP

Lowest quartile,

Highest quartile,

All GPs

strata

referral rate

referral rate

<10% ,

>=16%,

n = 1102

n = 1047

n = 4350

consultations

consultations

consultations

n = 11 GPs

n = 11 GPs

n = 44 GPs

Referral

Referral

Referral

Referral

Referral

Referral

issue

rate

issue

rate

issue

rate

introduced

introduced

introduced

%

%

%

%

%

%

(95% CI)

(95% CI)

(95% CI)

(95% CI)

(95% CI)

(95% CI)

(n/N)

(n/N)

(n/N)

(n/N)

(n/N)

(n/N)

Referral rate,

%

7.8

20.9

13.7

(95% CI)

(6.2 – 9.4)

(18.5 –23.4)

(12.7–1 4.7)

(n/N)

(86/1102)

(219/1047)

(595/4350)

Referral

18.0

43.4

31.3

66.8

23.0

59.4

issue

(15.7–20.2)

(36.5–50.4)

(28.5- 34.1)

(61.7–71.9)

(21.8 - 24.3)

(56.4 - 62.5)

introduced

(198/1102)

(86/198)

(328/1047)

(219/328)

(1001/4350)

(595/1001)

Referral

issue of

26.3

51.9

29.0

66.3

29.4

59.5

introduced

(20.3 - 33.0)

(38.1–65.7)

(24.1 - 34.2)

(56.7 –75.9)

(26.6 – 32.3)

(53.9 - 65.2)

by patient

(52/198)

(27/52)

(95/328)

(63/95)

(294/1001)

(175/294)

Referral

issue

73.7

40.4

71.0

67.0

70.6

59.4

introduced

(67.0 - 79.7)

(32.4–48.5)

(65.8 - 75.9)

(60.9 –73.4)

(67.8 - 73.5)

(55.8 - 63.0)

by GP

(146/198)

(59/146)

(233/328)

(156/233)

(707/1001)

(420/707)

1. 1Comparing strata of GPs, by referral rate.