Introduction
We established an advanced primary care clinic, run by Family Medicine Specialists, to handle medical conditions which primary care doctors considered requiring investigation / management in secondary care. It operated with short waiting time (<4 weeks) and can access to special investigations such as upper endoscopy and ultrasound. Most patients were seen in 3 or less visits and discharged with an organized care plan in primary care or an early appointment in secondary care.

Method
Review of medical records of patients attending our clinic from 1 Jan 2012 to 30 Jun 2013 was done. Reasons of referral, diagnosis on discharge, investigations ordered, and their destination (primary or secondary care) were reviewed.

Results and Outcome
584 patients were seen and 493 of them had been discharged. Only 19.1% of patients discharged were referred to hospital specialists, majority (80.9%) were discharged to primary care clinics. The 3 commonest reasons of referral were abdominal pain (26.4%), chest pain (14.6%) and deranged liver function test (12.2%). The most frequent diagnosis on discharge was non-ulcer dyspepsia (24.3%). There were 4 newly diagnosed malignancies, and their time required in accessing secondary care ranged from less than 1 month to 3 months. The number of special investigations ordered per patient seen was 0.53.

Conclusion
Medical Triage clinic run by Family Medicine specialists can improve service delivery in primary care and reduce referral to secondary care. It helps patient to be cared at the right time, in the right place and under the right service.