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The primary objects of the investigation described in this paper were two in number: (1) to examine the reasons for which patients may be referred by a general practitioner to his consultant and specialist colleagues ; and (2) to discover what functions are most required by the patient and his doctor from the hospital service. Analysis of the results has not only answered these questions, it has also provided further evidence of the high incidence of psychoneurosis and stress disorders. This study was based on a single practice.
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