Referring/

consultation

I. Consultation Etiquette
II. Referral/consultation process
III. Institutions/center for referring/consultation
IV. Referral system/model
 I. Consultation
etiquette
You are consultant to the managing services
Be accessible
Be responsive
Call for referring service
Cultural corollary
Clarify the nature of request
See the patient
Call the referring service
Discuss the recommendation with the
managing team
(http://64.85.16.230/educate/content/elements/cons
ultation etiquette.html)
II. Referral/consultation process

Referral/consultation-high quality medical

care
Referral/consultation to appropriate
colleague, accepted by patient
All relevant information-indicate clearly
refer/consult
Consultant respond promptly
Patient have the right to be informed the
result
Consultant report in detail findings &
recommendation
The right of patient to privacy and autonomy,
about their care, exam and treatment
Doctor-patient relationship keep stable
If the third-party needed-must be identified
at the time of referral
Faculty of medicine must teach and role
model-effective referral/consultation
process-courtesy, respect, good
communication (patient/colleagues/other
members)
(annals: RCPSC, vol 26, no.3 June 1993. Pp 149-152)
 III. Institutions/centers for
referring/consultation

Hospitals
AMA/professional organizations
Clinics (mayo clinic. e.q)
Centers (e.q Genetic center)
Group/individual expert
IV. Referral system/model
1. Patient physician
2.
Hospitals
centers

a. Patient-physician
CONSULTANT communication/relationship
b. Consultation
d c. Referring
b d. Second opinion
c
c Referring
Patient
physician
a
3. Indonesian government regulation
(MOH)
Tertiary Central
care hospital subspecialty

Secondary & Provincial specialty

Tertiary care hospital subspecialty

Primary & District specialty

Secondary care hospital GP

Primary Health GP
care center Fam. MD

Community Health Health

post caders
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