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Medical Decision Making
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*Endocrine Diseases
*Obesity
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What's this?

A Chart Audit Study of the Referral of Obese Patients to Endocrinologists

Michael M. Ravitch

David R. Rovner

Penny A. Jennett

Marilyn L. Rothert

Margaret M. Holmes

Gerald B. Holzman

Arthur S. Elstein

The aim of this study was to identify factors in primary care physicians' decisions to refer obese patients to an endocrine clinic. Charts of 83 referred obese patients were compared with randomly selected charts of 300 obese adults in the general ambula tory clinic files. The referral rate is estimated at 1% of obese patients in the clinical center and 0.25% of obese persons in the Lansing area. Referral of obese patients appears to depend primarily on degree of obesity and secondarily on suspicion of endocrine disease. Considerations limiting the usefulness of patient charts for studies of physicians' decision making are discussed. (Med Decis Making 3:69-79, 1983)

Medical Decision Making, Vol. 3, No. 1, 69-79 (1983)
DOI: 10.1177/0272989X8300300113


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D. R. Rovner, M. L. Rothert, M. M. Holmes, M. M. Ravitch, G. B. Holzman, and A. S. Elstein
Rationale for Physicians' Decisions to Refer Obese Patients
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