{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T10:54:38Z","timestamp":1792407278814,"version":"4.4.0"},"reference-count":12,"publisher":"BMJ","issue":"6870","license":[{"start":{"date-parts":[[1993,1,9]],"date-time":"1993-01-09T00:00:00Z","timestamp":726537600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1993,1,9]]},"abstract":"<jats:p>OBJECTIVE--To measure the effect on general practitioner referrals for radiography of introducing guidelines of good practice together with monitoring and peer review. DESIGN--Collection of referral data during 1 January 1989 to 31 December 1990. Guidelines were introduced on 1 January 1990. SETTING--Open access radiology services provided by one non-teaching district in England. SUBJECTS--144614 registered patients from 22 practices. MAIN OUTCOME MEASURES--Number of referrals per 1000 registered patients for radiography of the chest, skull, spine, abdomen, limbs, and joints and for barium investigation and excretion urography. RESULTS--Overall referrals fell from 88.4\/1000 registered patients to 77.2\/1000 after the guidelines were introduced. The commonest reasons for referral were for examination of the chest, spine, and limbs and joints and referrals for these fell by 9.4%, 17.5%, and 13.5% respectively. Referrals for skull radiography fell by 30% (from 241 to 168). CONCLUSIONS--By helping general practitioners to be more selective in their use of diagnostic radiology, the guidelines reduced the rate of referral and thus patients' exposure to radiation.<\/jats:p>","DOI":"10.1136\/bmj.306.6870.110","type":"journal-article","created":{"date-parts":[[2009,3,30]],"date-time":"2009-03-30T08:16:37Z","timestamp":1238400997000},"page":"110-111","source":"Crossref","is-referenced-by-count":44,"title":["Influence of Royal College of Radiologists' guidelines on referral from general practice. Royal College of Radiologists Working Party."],"prefix":"10.1136","volume":"306","member":"239","published-online":{"date-parts":[[1993,1,9]]},"reference":[{"key":"ref_1","first-page":"528","article-title":"Joint working party report on radiological services for general practitioners. J7 R Coll Gen Pract","volume":"31","author":"of General Practitioners, Royal College; the Royal College of Radiologists","year":"1981","unstructured":"Royal College of General Practitioners and the Royal College of Radiologists. Joint working party report on radiological services for general practitioners. J7 R Coll Gen Pract 1981;31:528-30."},{"key":"ref_2","first-page":"55","article-title":"Open access-a general practitioner's right?","volume":"13","author":"Barker, J.","year":"1967","unstructured":"Barker J. Open access-a general practitioner's right? J R Coll Gen Pract 1967;13:55-62.","journal-title":"J R Coll Gen Pract"},{"key":"ref_3","first-page":"237","article-title":"Pre-symptomatic diagnosis-a study in a country practice. JR Coll Gen Pract 1969; 17","author":"Evans, S.M.; Wilkes, E.; Dalrymple Smith, D.","unstructured":"Evans SM, Wilkes E, Dalrymple Smith D. Pre-symptomatic diagnosis-a study in a country practice. JR Coll Gen Pract 1969;17:237-46."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1136\/bmj.287.6401.1265","article-title":"Laboratory and radiological investigations in general practice: results of radiological investigations","volume":"287","author":"Mills, K.A.; Reilley, P.M.","year":"1983","unstructured":"Mills KA, Reilley PM. Laboratory and radiological investigations in general practice: results of radiological investigations. BMJ 1983;287:1265-8.","journal-title":"BMJ"},{"key":"ref_5","first-page":"403","article-title":"The use of chest x-rays","volume":"26","author":"Freeman, G.K.","year":"1983","unstructured":"Freeman GK. The use of chest x-rays. Update 1983;26:403-10.","journal-title":"Update"},{"key":"ref_6","first-page":"893","article-title":"Influence of patient management of general practitioner direct access to radiological services","volume":"60","author":"Barton, E.; Gallagher, S.; Flower, C.D.R.; Hanka, R.; King, R.H.; Sherwood, T.","year":"1987","unstructured":"Barton E, Gallagher S, Flower CDR, Hanka R, King RH, Sherwood T. Influence of patient management of general practitioner direct access to radiological services. BrjRadiol 1987;60:893-6.","journal-title":"BrjRadiol"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S0009-9260(89)80088-1","article-title":"Radiology is valuable to general practitioners: but who pays?","volume":"40","author":"Stoddart, P.G.P.; Holl, S.G.","year":"1989","unstructured":"Stoddart PGP, Holl SG. Radiology is valuable to general practitioners: but who pays? Clin Radiol 1989;40:183-5.","journal-title":"Clin Radiol"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0009-9260(05)80035-2","article-title":"Chest radiography for general practitioners: scope for change?","volume":"46","author":"Keogan, M.T.; Padhani, A.R.; Flower, C.D.R.","year":"1992","unstructured":"Keogan MT, Padhani AR, Flower CDR. Chest radiography for general practitioners: scope for change? Clin Radiol 1992;46:51-4.","journal-title":"Clin Radiol"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/S0009-9260(05)82146-4","article-title":"The effect of radiology guidelines for general practitioners in Plymouth","volume":"42","author":"Meiring, P.D.V.; Wells, I.P.","year":"1990","unstructured":"Meiring PDV, Wells IP. The effect of radiology guidelines for general practitioners in Plymouth. Clin Radiol 1990;42:327-9.","journal-title":"Clin Radiol"},{"key":"ref_10","article-title":"Making the best use of a department of radiology. Guidelinesfor doctors","author":"of Radiologists, Royal College","year":"1990","unstructured":"Royal College of Radiologists. Making the best use of a department of radiology. Guidelinesfor doctors. London: RCR, 1990."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1136\/bmj.303.6806.809","article-title":"Radiologists Working Party. A multicentre audit of hospital referral for radiological investigation in England and Wales","volume":"303","author":"of, Royal College","year":"1991","unstructured":"Royal College of Radiologists Working Party. A multicentre audit of hospital referral for radiological investigation in England and Wales. BMJ 1991;303: 809-12.","journal-title":"BMJ"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1136\/bmj.304.6829.740","article-title":"Radiologists Working Party. The influence of the Royal College of Radiologists guidelines on hospital practice. A multicentre study","volume":"304","author":"of, Royal College","year":"1992","unstructured":"Royal College of Radiologists Working Party. The influence of the Royal College of Radiologists guidelines on hospital practice. A multicentre study. BMJ 1992;304:740-3.","journal-title":"BMJ"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.306.6870.110","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.306.6870.110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T06:00:16Z","timestamp":1766383216000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.306.6870.110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,1,9]]},"references-count":12,"journal-issue":{"issue":"6870","published-online":{"date-parts":[[1993,1,9]]},"published-print":{"date-parts":[[1993,1,9]]}},"alternative-id":["10.1136\/bmj.306.6870.110"],"URL":"https:\/\/doi.org\/10.1136\/bmj.306.6870.110","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"value":"0959-8138","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,1,9]]}}}