- Reciprocity - patients are referred in both directions
- Personal relationships
- Corporate enforcement keeping consultations within the network
- Economic pressure exerted by consultants to maintain referrals. I have seen this happen.
- Specialist willingness to do tests and procedures on request
- Habit
- Patient or family request
References:
How doctors choose which specialists they refer to. KevinMD.com
Image source: OpenClipArt.org, public domain.
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