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Cited by 35Dietetics, Nutrition, and EducationHealthcare Systems and TechnologyNursing Roles and Practices

Referrals to dietitians/nutritionists: A cross-sectional analysis of Australian GP registrars’ clinical practice

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Mulquiney, Katie J., Tapley, Amanda, van Driel, Mieke L., Morgan, Simon, Davey, Andrew R., Henderson, Kim M., Spike, Neil A., Kerr, Rohan H. +3 more·2018·Nutrition & Dietetics
DOI 10.1111/1747-0080.12377
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Abstract

Aim: The present study aimed to describe referral patterns of general practitioner (GP) registrars to dietitians/nutritionists. There is a paucity of research regarding GP referral patterns to dietitians/nutritionists. Limited data show increasing referrals from established GPs to dietitians/nutritionists. There are no data on GP registrar (trainee) referrals. Methods: This was a cross‐sectional analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) study. ReCEnT is an ongoing, multicentre, prospective cohort study of registrars, which documents 60 consecutive consultations of each registrar in each of the three six‐month GP training terms. The outcome factor in this analysis was a problem/diagnosis resulting in dietitian/nutritionist referral (2010–2015). Independent variables were related to registrar, patient, practice and consultation. Results: A total of 1124 registrars contributed data from 145 708 consultations. Of 227 190 problems/diagnoses, 587 (0.26% (confidence interval: 0.23–0.29)) resulted in dietitian/nutritionist referral. The most common problems/diagnoses referred related to overweight/obesity (27.1%) and type 2 diabetes (21.1%). Of referrals to a dietitian/nutritionist, 60.8% were for a chronic disease, and 38.8% were related to a Chronic Disease Management plan. Dietitian/nutritionist referral was significantly associated with a number of independent variables reflecting continuity of care, patient complexity, chronic disease, health equity and registrar engagement. Conclusions: Established patients with chronic disease and complex care needs are more likely than other patients to be referred by registrars to dietitians/nutritionists. Nutrition behaviours are a major risk factor in chronic disease, and we have found evidence for dietitian/nutritionist referrals representing one facet of engagement by registrars with patients’ complex care needs.

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  47. Mulquiney, K. J., Tapley, A., van Driel, M. L., Morgan, S., Davey, A. R., Henderson, K. M., Spike, N. A., Kerr, R. H., Watson, J. F., Catzikiris, N. F. & Magin, P. J. (2018). Referrals to dietitians/nutritionists: A cross-sectional analysis of Australian GP registrars' clinical practice. NUTRITION & DIETETICS, 75 (1), pp.98-105. https:// doi.org/10.1111/1747-0080.12377. Persistent Link: http://hdl.handle.net/11343/293456

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Authors
Mulquiney, K. J., Tapley, A., van Driel, M. L., Morgan, S., Davey, A. R., Henderson, K. M., Spike, N. A., Kerr, R. H., Watson, J. F., Catzikiris, N. F., & Magin, P. J.
Affiliations
  • University of Newcastle Australia (AU)
  • General Practice and Primary Care Clinical Unit, Faculty of Medicine The University of Queensland, Royal Brisbane & Women's Hospital Brisbane Queensland Australia
  • Elermore Vale General Practice Newcastle New South Wales Australia
  • NSW & ACT Research and Evaluation Unit GP Synergy Newcastle New South Wales Australia
  • The University of Melbourne (AU)
  • General Practice Training Tasmania Hobart Tasmania Australia
  • Ethos Health Newcastle West New South Wales Australia
Corresponding author
Mulquiney, Katie J.
ORCID
Venue
Nutrition & Dietetics
Publisher
Wiley
Published
2017-09-14
Volume
75
Issue
1
Pages
98-105
ISSN
  • 1446-6368 (ISSN-L)
  • 1747-0080
DOI
10.1111/1747-0080.12377
OpenAlex
W2756313449
Cited by
35
References
22
Citations by year
2026: 1 · 2025: 5 · 2024: 6 · 2023: 4 · 2022: 9 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 2
FWCI
2.25
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Nutrition & Dietetics (publishedVersion)
  • PubMed (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion)
  • NOVA (University of Newcastle Australia) (submittedVersion)
Funders
Australian Commonwealth Department of Health
Topics
  • Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
Keywords
dietitian referral, general practitioner registrars, general practice training, referral patterns, continuity of care, chronic disease management, overweight and obesity, type 2 diabetes, patient complexity, health equity
MeSH terms
Australia, Cross-Sectional Studies, Humans, Practice Patterns, Physicians', Referral and Consultation, General Practice, Nutritionists

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