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Our results, however, showed no differences in the referral rate to ophthalmologists.
Several other studies reported no gender differences in the referral of patients with CKD[ 16, 18, 30].
Overall, we noted considerable variability in prevalence of ADHD associated with country, possibly reflecting differences in the referral selection process in their respective health care systems.
Major differences in the referral rates for extra care were detected when the traditional approach was compared to the triage approach: lower referral rates for extra care were found for the triage approach relative to the traditional approach.
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We found no difference in the referral pattern of Hispanic compared with white patients.
There was no difference in the referral rate to cardiology clinics (33 patients from each consultant).
There was also no significant difference in the referral rates by area (Fisher's exact test P=0.33).
Differences in the practice structures, referral patterns, social and geographic factors and practice patterns may explain these differences.
The data available in this study cannot explain the observed differences in the source of referral between ethnic groups.
This approach may help to adjust differences in specialist use for differences in the possibility of referral, but more detailed understanding of the process is needed.
On multivariable linear regression analysis, the level of comorbidity for lung patients was the only factor associated with differences in the interval from referral to patient informed of diagnosis (estimated coefficient=14.31; P=0.04).
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