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Journal articles on the topic 'Patient referral systems'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Carty, Orla, Henna Toor, Timothy A. Morris, and Jayne E. Harrison. "Orthodontic referral management systems: Do they make a difference?" Journal of Orthodontics 46, no. 1 (2019): 39–45. http://dx.doi.org/10.1177/1465312518824099.

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Aims: To assess the performance of the referral management system (RMS) compared to a previous paper-based referral system and to determine whether referrals reflected the patients’ malocclusion and met current guidelines. Design: Three-cycle audit. Setting: Orthodontic Department, Liverpool University Dental Hospital, UK. Participants: Consecutive new orthodontic patient referrals. Methods: Data were collected prospectively from orthodontic referral letters and new patient clinic proformas (2016–2017). Cycle 1 assessed the original paper-based referral form, Cycle 2 assessed the first RMS onl

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Hendijani, Rosa, and Diane P. Bischak. "The effect of social relationships on the rates of referral to specialists." International Journal of Operations & Production Management 36, no. 4 (2016): 384–407. http://dx.doi.org/10.1108/ijopm-02-2015-0086.

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Purpose – In order to decrease patient waiting time and improve efficiency, healthcare systems in some countries have recently begun to shift away from decentralized systems of patient referral from general practitioners (GPs) to specialists toward centralized ones. From a queueing theory perspective, centralized referral systems can decrease waiting time by reducing the variation in the referral process. However, from a social psychological perspective, a close relationship between referring physician and specialist, which is characteristic of decentralized referral systems, may safeguard aga

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Domingo, Winston G., Virdi C. Gonzales, and Jennifer A. Gamay. "Enhancing patient navigation and referral through tele-referral system with geographical information systems." Indonesian Journal of Electrical Engineering and Computer Science 38, no. 1 (2025): 281. https://doi.org/10.11591/ijeecs.v38.i1.pp281-291.

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A tele-referral system with a geographic information system (GIS) integrates telehealth services with spatial data to enhance healthcare delivery. Resource constraints can significantly impact the effectiveness of a tele-referral system with GIS. Addressing delayed or missed referrals is critical to ensuring timely patient care and improving health outcomes. Implementing a tele-referral system with GIS can significantly enhance healthcare delivery by leveraging spatial data and telehealth technologies to improve access, efficiency, and outcomes. One major issue is the lack of access to special

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Winston, G. Domingo Virdi C. Gonzales Jennifer A. Gamay. "Enhancing patient navigation and referral through tele-referral system with geographical information systems." Indonesian Journal of Electrical Engineering and Computer Science 38, no. 1 (2025): 281–91. https://doi.org/10.11591/ijeecs.v38.i1.pp281-291.

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A tele-referral system with a geographic information system (GIS) integrates telehealth services with spatial data to enhance healthcare delivery. Resource constraints can significantly impact the effectiveness of a tele-referral system with GIS. Addressing delayed or missed referrals is critical to ensuring timely patient care and improving health outcomes. Implementing a tele-referral system with GIS can significantly enhance healthcare delivery by leveraging spatial data and telehealth technologies to improve access, efficiency, and outcomes. One major issue is the lack of access to special

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Joshua, Agola, and Raburu George. "Analysis of Scheduling Models Applicable in Referral Health Systems." International Journal of Engineering Research & Science 4, no. 5 (2018): 23–29. https://doi.org/10.5281/zenodo.1256466.

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<strong><em>Abstract</em></strong><strong>—</strong> <em>Scheduling patient referrals is one of the most important administrative responsibilities performed in the medical office.  A referral scheduling algorithm can be a useful tool in the hands of a primary provider. Primary providers are lacking knowledge regarding the care and treatment of chronic diseases and are not familiar with the current status of available resources (consultant doctors) for patient referrals. During patient referral there is a need to know of the availability of the consultant doctor and his/her status in

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Jayasuriya, N. J. A. S. S., and B. M. Munasinghe. "Mastering the Medical Referral: A Critical Skill for Effective Patient Management." Sri Lankan Journal of Anaesthesiology 33, no. 02 (2025): 197–201. https://doi.org/10.4038/slja.v33i02.9581.

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A well-structured medical referral is necessary for healthcare providers to communicate effectively and treat patients promptly and appropriately. Despite the growing usage of electronic referral systems in high-resource settings, hand-written referrals continue to be the primary mode of referral in many low-resource settings. Still, these referrals are prone to inefficiencies, illegibility issues, and incomplete information, leading to miscommunication and delayed patient care. To enhance the clarity and effectiveness of referrals, this article explores the principles, optimal structure, and

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Patterson, Mark E., Paul Chan, Susan Melton, Tracie Breeding, Stacy Farr, and John Spertus. "203 Implementing a hospital-based referral system to connect heart failure patients with payer disease management: approaches and lessons from a pilot study." Journal of Clinical and Translational Science 6, s1 (2022): 30. http://dx.doi.org/10.1017/cts.2022.105.

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OBJECTIVES/GOALS: Commercial health insurance payers invest in disease management programs (DM) to coordinate care for complex patients. To overcome gaps in connecting patients hospitalized with heart failure to DM, we implemented a novel warm handoff referral between hospital providers and payer DM using the Implementation Research Logic Model (IRLM). METHODS/STUDY POPULATION: A research and quality improvement team collaborated with champions from one hospital and three payers to build and pilot an inpatient-based referral for hospitalized patients with heart failure who were beneficiaries o

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Alabbasi, Khalid H., Estie Kruger, and Marc Tennant. "Strengthening Saudi Arabia’s Primary Health Care through an e-Referral System: A Case Study." Clinics and Practice 12, no. 3 (2022): 374–82. http://dx.doi.org/10.3390/clinpract12030042.

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Health systems are becoming more complex, regulatory bodies are increasing their vigilance, and reimbursement practices are shifting toward value, making closing the referral loop an imperative for patient safety, regulatory oversight, and financial viability. The aim of this study was to examine the referral pattern in PHC services and whether a significant variation exists among them based on geographic accessibility to a referred hospital. This was a cross-sectional retrospective study that included all sequentially referred patients between 1 January 2019 and 30 December 2021. A pre-initia

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Lowry, Becky N., Kyla Alsman, Wendy Hein, et al. "Primary and subspecialty care trends for adults with a history of childhood cancer." Journal of Clinical Oncology 36, no. 7_suppl (2018): 33. http://dx.doi.org/10.1200/jco.2018.36.7_suppl.33.

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33 Background: With growing numbers of childhood cancer survivors (CCS), having systems for survivorship care coordination is imperative. While studies have compared the comfort and knowledge between primary care and oncology physicians in providing CCS care, few have analyzed primary and subspecialty care rates. Referral trends can be informative for institutions developing systems of care. Correlative measures with referral needs may help institutions prioritize process development for patients. Methods: Retrospective chart reviews were completed on 117 adult CCS from Survivorship Transition

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Cartland, Jenifer D. C., and Beth K. Yudkowsky. "Barriers to Pediatric Referral in Managed Care Systems." Pediatrics 89, no. 2 (1992): 183–92. http://dx.doi.org/10.1542/peds.89.2.183.

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Anecdotal evidence suggests that children's access to pediatric subspecialty and inpatient care is hampered by referral barriers imposed by managed care systems. To identify such barriers and determine how they affect the referral process, a sample of American Academy of Pediatrics Fellows (n = 1598) was surveyed. The response rate was 79.1% (n = 1264). Of those pediatricians in direct patient care (n = 956), 71.4% participated in a managed care plan. Pediatricians referred patients in managed care systems somewhat less frequently than in traditional pay systems: 8.7% and 6.9% referred managed

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Stephenson-Hunter, Cara, Giovanni Pachecho, and Earle Chambers. "54 The Association of Patient Characteristics on Provider Referrals to a Health-system Based Diabetes Prevention Program in the Bronx, NY." Journal of Clinical and Translational Science 7, s1 (2023): 14–15. http://dx.doi.org/10.1017/cts.2023.143.

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OBJECTIVES/GOALS: The Diabetes Prevention Program (DPP) has been shown to reduce diabetes risk by 58%. Men, particularly men of color, are underrepresented in DPP, while they experience higher diabetes-related morbidity. We examine whether race, ethnicity, and gender disparities in engagement are associated with the risk of referral to DPP in primary care METHODS/STUDY POPULATION: Using electronic health record (EHR) from a large urban health system in the Bronx, NY, with an in-house DPP, we examined patient, visit, referral data for DPP-eligible, adult patients with a primary care visit betwe

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Hershaw, Catherine Maria. "Orthodontic Referrals: Electronic versus Paper." Orthodontic Update 14, no. 2 (2021): 69–70. http://dx.doi.org/10.12968/ortu.2021.14.2.69.

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The Cwm Taf Community Dental Service (CDS) has previously used a paper system to refer patients to the orthodontic specialists within the Cwm Taf CDS. However, at the beginning of June 2019, an electronic referral system was introduced. Although electronic referrals have had a minimal effect on the overall waiting time for a patient, there has been an improvement in the efficiency of transfer of orthodontic referrals within the CDS. Electronic referral systems have reduced the number of inappropriate referrals, improved patient confidentiality and maintained an accurate record that is accessib

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Shathur, Adam, Samuel Reeves, Faizal Sameja, Vishal Patel, and Allan Jones. "Referrals to Urgent Dental Centres During the COVID-19 Pandemic: A Multi-Site Analysis Research Project." Primary Dental Journal 10, no. 1 (2021): 40–45. http://dx.doi.org/10.1177/2050168420980961.

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Introduction: The COVID-19 pandemic enforced the cessation of routine dentistry and the creation of local urgent dental care systems in the UK. General dental practices are obligated by NHS guidance to remain open and provide remote consultation and referral where appropriate to patients having pain or problems. Aims: To compare two urgent dental centres with different triage and referral systems with regard to quality and appropriateness of referrals, and patient management outcomes. Methods: 110 consecutive referrals received by a primary care urgent dental centre and a secondary care urgent

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Wainaina, John, Grace Irimu, Mike English, et al. "Assessment of neonatal referral infrastructure and clinical characteristics of referred neonates in three first referral hospitals in Nairobi County, Kenya." Wellcome Open Research 8 (September 4, 2023): 126. http://dx.doi.org/10.12688/wellcomeopenres.18871.2.

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Background One in five newborns in Nairobi County, Kenya, may require inpatient neonatal care. We sought to examine referrals to and from three busy first-level referral public hospitals in Nairobi and what infrastructure and systems are available to support neonatal transport from these first-referral level hospitals to the main tertiary care center. Methods Patient-level data of newborns over 12 months were retrospectively extracted from routinely collected patient data and examined to characterize those referred into and out of three newborn units in the study hospitals. Structural assessme

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Wainaina, John, Grace Irimu, Mike English, et al. "Assessment of neonatal referral infrastructure and clinical characteristics of referred neonates in three first referral hospitals in Nairobi County, Kenya." Wellcome Open Research 8 (November 24, 2023): 126. http://dx.doi.org/10.12688/wellcomeopenres.18871.3.

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Background One in five newborns in Nairobi County, Kenya, may require inpatient neonatal care. We sought to examine referrals to and from three busy first-level referral public hospitals in Nairobi and what infrastructure and systems are available to support neonatal transport from these first-referral level hospitals to the main tertiary care center. Methods Patient-level data of newborns over 12 months were retrospectively extracted from routinely collected patient data and examined to characterize those referred into and out of three newborn units in the study hospitals. Structural assessme

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Wainaina, John, Grace Irimu, Mike English, et al. "Assessment of neonatal referral infrastructure and clinical characteristics of referred neonates in three first referral hospitals in Nairobi County, Kenya." Wellcome Open Research 8 (March 21, 2023): 126. http://dx.doi.org/10.12688/wellcomeopenres.18871.1.

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Background Almost one in five newly born babies in Nairobi County, Kenya, may need some form of inpatient neonatal care. Prior work showed many facilities are inadequately prepared to provide sick newborn care, however, only 16.6% of babies from facilities were referred to a better-equipped facility. We sought to examine referrals to and from three busy first-level referral public hospitals in Nairobi and what infrastructure and systems are available to support neonatal transport from these first-referral level hospitals to the main tertiary care center. Methods Patient-level data of newborns

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Currie, Fraser, Rashi Negi, and Hari Shanmugaratnam. "Assessing the practice of written referrals to neuroradiology and how this process can be improved and standardised." BJPsych Open 7, S1 (2021): S181—S182. http://dx.doi.org/10.1192/bjo.2021.492.

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AimsThis quality improvement project aims to improve the quality of information provided in the referrals from the older adult psychiatry department to radiology when requesting neuroradiological imaging.The secondary outcome aims to standardise information on the referral proforma. We hypothesise that this improved referral proforma will lead to improved quality of reporting from the radiology department, which will form the second stage of this quality improvement project.A further area of interest of this exercise is to establish whether standardised radiological scoring systems are request

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Nmadu, AG, S. Boka, AA Gobir, NO Usman, F. Adiri, and AI Ahmad. "Knowledge and Utilization Pattern of Referral Systems among Primary Healthcare Workers in a Community in North-West Nigeria." J Res Bas Clin Sci 2 (March 27, 2022): 61–69. https://doi.org/10.5281/zenodo.6387762.

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ABSTRACT A functional referral system is vital for the delivery of continuous and effective patient care from primary healthcare to secondary or tertiary level of care. This study assessed knowledge and utilization of referral systems among primary health care workers in Jema'a Local Government Area of Kaduna State. A cross-sectional descriptive study was conducted among 100 primary healthcare workers selected through a multistage sampling technique from five primary health centres in Jema'a. Data were collected on sociodemographic characteristics, knowledge about and pattern of utiliz

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Chagin, Kevin, Franklin Choate, Karen Cook, Susan Fuehrer, James E. Misak, and Ashwini R. Sehgal. "A Framework for Evaluating Social Determinants of Health Screening and Referrals for Assistance." Journal of Primary Care & Community Health 12 (January 2021): 215013272110522. http://dx.doi.org/10.1177/21501327211052204.

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Introduction/Objectives: Many health systems screen patients for social determinants of health and refer patients with social needs to community service organizations for assistance. We developed a framework based on sequential steps to evaluate this process. Methods: We reviewed efforts by The MetroHealth System in Cleveland, Ohio and identified 6 sequential steps: patient screened, has social needs, consents to referral to a service organization, referral placed, referral accepted, and referral outcome. Referral outcomes were categorized as resolved (organization provided requested service o

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Ball, Ian M., Brent Hodge, Sandy Jansen, Susan Nickle, and Robert W. Sibbald. "A Canadian Academic Hospital’s Initial MAID Experience: A Health-Care Systems Review." Journal of Palliative Care 34, no. 2 (2018): 78–84. http://dx.doi.org/10.1177/0825859718812446.

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Background: Following the Supreme Court of Canada’s Carter Decision, medical assistance in dying (MAID) became possible with individual court orders in February 2016. Subsequently, on June 17, 2016, legislation was passed that eliminated the need for court orders, essentially making physicians the arbiters of these requests. Canadian health-care facilities now face the challenge of addressing this unprecedented patient health-care need. Aim: To describe the manner in which London Health Sciences Center has approached local and regional requests for MAID, including the administration, ethics, p

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Chiou, Bo-Lin, Yu-Fu Chen, Hong-Yaw Chen, Cheng-Yen Chen, Shu-Chuan Jennifer Yeh, and Hon-Yi Shi. "Effect of referral systems on costs and outcomes after hip fracture surgery in Taiwan." International Journal for Quality in Health Care 32, no. 10 (2020): 649–57. http://dx.doi.org/10.1093/intqhc/mzaa115.

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Abstract Objective To explore the economic burdens of hip fracture surgery in patients referred to lower-level medical institutions and to evaluate how referral systems affect costs and outcomes of hip fracture surgery. Design A nationwide population-based retrospective cohort study. Setting All hospitals in Taiwan. Participants A total of 7500 patients who had received hip fracture surgery (International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) diagnostic codes 820.0 ∼ 820.9 and procedure codes 79.15, 79.35, 81.52, 81.53) performed in 1997 to 2013. Main outcom

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Anderson, Eric, John DiPalazzo, Ashley Kennes, et al. "Exploring barriers to completing referral appointments for cancer genetic services in a rural state." JCO Oncology Practice 20, no. 10_suppl (2024): 83. http://dx.doi.org/10.1200/op.2024.20.10_suppl.83.

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83 Background: Genetic counseling and testing promotes awareness and management of hereditary cancer risk. Barriers exist to accessing cancer genetic services, particularly among those with healthcare disparities, i.e., those facing geographic and socioeconomic barriers. These barriers impact not only the ability to obtain a referral but also whether the initial appointment is scheduled and completed. This study explored referrals and what factors were associated with whether appointments were successfully completed in a predominantly rural state (Maine). Methods: Medical records were reviewed

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Clark, Dana Farengo, Kara N. Maxwell, Jacquelyn Powers, et al. "Identification and Confirmation of Potentially Actionable Germline Mutations in Tumor-Only Genomic Sequencing." JCO Precision Oncology, no. 3 (December 2019): 1–11. http://dx.doi.org/10.1200/po.19.00076.

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PURPOSE Tumor-only genomic profiling (TGP) is increasingly advocated for all patients with cancer given the possible therapeutic implications. It is critical to develop clinical algorithms to identify and address potentially actionable germline findings identified by TGP. METHODS A multidisciplinary team analyzed publicly available data for genes in which mutations are implicated in germline cancer susceptibility and established a pipeline to automate clinical referral for evaluation of TGP findings. RESULTS A total of 2,308 patients underwent TGP, with 81 patients (3.5%) identified by the aut

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Kim, Jimin, Maria Barreix, Christine Babcock, and Corey B. Bills. "Acute Care Referral Systems in Liberia: Transfer and Referral Capabilities in a Low-Income Country." Prehospital and Disaster Medicine 32, no. 6 (2017): 642–50. http://dx.doi.org/10.1017/s1049023x1700677x.

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AbstractIntroductionFollowing two decades of armed conflict in Liberia, over 95% of health care facilities were partially or completely destroyed. Although the Liberian health system has undergone significant rehabilitation, one particular weakness is the lack of organized systems for referral and prehospital care. Acute care referral systems are a critical component of effective health care delivery and have led to improved quality of care and patient outcomes.ProblemThis study aimed to characterize the referral and transfer systems in the largest county of Liberia.MethodsA cross-sectional, h

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Sprecher, Eli, Kathleen Conroy, Jenny Chan, Paul R. Lakin, and Joanne Cox. "Utilization of Patient Navigators in an Urban Academic Pediatric Primary Care Practice." Clinical Pediatrics 57, no. 10 (2018): 1154–60. http://dx.doi.org/10.1177/0009922818759318.

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Navigating health care systems can be a challenge for families. A retrospective descriptive cohort analysis was conducted assessing referrals to patient navigators (PNs) in one urban academic pediatric primary care practice. PNs tracked referral processes and a subset of PN referrals was assessed for markers of successful referrals. The most common reasons for referral were assistance overcoming barriers to care (46%), developmental concerns (38%), and adherence/care coordination concerns (14%). Significant predictors of referral were younger age, medical complexity, public insurance, male sex

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Al Shamsi, Hilal Salim, Abdullah Ghthaith Almutairi, and Sulaiman Salim Al Mashrafi. "Assessing the Quality of the Saudi Healthcare Referral System: Potential Improvements Implemented by Other Systems." Global Journal of Health Science 10, no. 11 (2018): 113. http://dx.doi.org/10.5539/gjhs.v10n11p113.

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INTRODUCTION: The referral system authorizes and transfers the responsibility for healthcare services from one provider to another. A key component of the system is the communication between primary-care and specialist providers. Poor communication between them is detrimental to and can cause significant issues with coordination of effective care.  OBJECTIVE: The purpose of this review was to evaluate current healthcare referral systems, focusing on the communication among providers, and to suggest practices that could make the Saudi healthcare referral system more effective.

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Schreiner, Andrew D., Keri T. Holmes-Maybank, Jingwen Zhang, Justin Marsden, Patrick D. Mauldin, and William P. Moran. "Specialty Physician Designation in Referrals from a Vertically Integrated PCMH." Health Services Research and Managerial Epidemiology 6 (January 1, 2019): 233339281985038. http://dx.doi.org/10.1177/2333392819850389.

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Introduction: Primary care referrals to specialty physicians once relied upon the medical skill of the specialist, the quality of past communication, and previous consultative experiences. As health systems vertically integrate, patterns of specialty physician referral designation are not known. Methods: This cross-sectional study from a patient-centered medical home (PCMH) evaluated the proportion of referrals with named specialists. All outpatient specialty referrals from the PCMH between July and December of 2014 were eligible for inclusion, and 410 patients were randomly selected for chart

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Dew, Rosie, and Scott Wilkes. "Evaluation of the referral management systems (RMS) used by GP practices in Northumberland: a qualitative study." BMJ Open 9, no. 7 (2019): e028436. http://dx.doi.org/10.1136/bmjopen-2018-028436.

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ObjectiveExploring the views of stakeholders to the referral management systems (RMS) used by GP practices in Northumberland, UK to evaluate its perceived effectiveness.DesignThis was an in-depth qualitative semi-structured interview study.Participants and setting32 participants (GPs, hospital consultants, referral support, hospital managers, Clinical Commissioning Group manager) in the North East of England, UK.MethodInterviews using a grounded theory approach and thematic analysis.ResultsThe main benefit of RMS mentioned by participants was that it allowed for unnecessary referrals to be vet

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Saturday Komi, Leesi, Ernest Chinonso Chianumba, Adelaide Yeboah Forkuo, Damilola Osamika, and Ashiata Yetunde Mustapha. "Advances in AI-Augmented Patient Triage and Referral Systems for Community-Based Public Health Initiatives." International Journal of Advanced Multidisciplinary Research and Studies 4, no. 6 (2024): 2010–32. https://doi.org/10.62225/2583049x.2024.4.6.4250.

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The integration of artificial intelligence (AI) into community-based public health initiatives is transforming traditional patient triage and referral systems, offering a scalable solution to healthcare access disparities. This paper explores advances in AI-augmented triage and referral technologies, focusing on their role in enhancing decision-making, optimizing resource allocation, and improving health outcomes in underserved communities. These systems leverage natural language processing (NLP), machine learning (ML), and predictive analytics to assess symptoms, prioritize care, and route pa

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Alqenae, F. A., D. Steinke, and R. N. Keers. "Evaluating the Utilisation of a Service Designed to Enhance Care with Medicines Following Acute Hospital Discharge: A Retrospective Study." International Journal of Pharmacy Practice 29, Supplement_1 (2021): i42—i43. http://dx.doi.org/10.1093/ijpp/riab015.052.

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Abstract Introduction Medication safety challenges are common after hospital discharge and an important global health care improvement target [1,2]. ‘Transfers of Care Around Medicines’ (TCAM) services have been suggested as an intervention that may help address this problem, and are designed to enable the referral of patients on discharge from the hospital to a named community pharmacy in the surrounding Clinical Commissioning Group (CCG). A TCAM service was launched by a large NHS Trust in England in February 2019 to enhance medicines communication and optimisation between primary and second

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Memon, Sarwat, Amna Salman, Afshan Mumtaz, and Mehnaz Memon. "Burden of Obstetrics and Gynaecological Referrals to Tertiary Health Care System." Journal of Gandhara Medical and Dental Science 10, no. 1 (2023): 53–56. http://dx.doi.org/10.37762/jgmds.10-1.391.

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OBJECTIVES This study aimed to assess the burden of obstetrics and gynaecological cases, causes and pattern of referral to tertiary care hospital. METHODOLOGY This descriptive cross-sectional study was carried out from May 2022-July 2022 using the data of patients who were referred to the Department of Obstetrics and Gynecology Unit 2 at Isra University Hospital from various primary, secondary, tertiary, and private hospitals for any obstetric or gynaecological emergency were the primary source of data. The confidentiality of each patient was carefully respected. This study evaluated the preva

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Ramelson, Harley, Amanda Nederlof, Sam Karmiy, et al. "Closing the loop with an enhanced referral management system." Journal of the American Medical Informatics Association 25, no. 6 (2018): 715–21. http://dx.doi.org/10.1093/jamia/ocy004.

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Abstract Objective To evaluate the impact of a referral manager tool on primary care practices. Materials and Methods We evaluated a referral manager module in a locally developed electronic health record (EHR) that was enhanced to improve the referral management process in primary care practices. Baseline (n = 61) and follow-up (n = 35) provider and staff surveys focused on the ease of performing various steps in the referral process, confidence in completing those steps, and user satisfaction. Additional metrics were calculated that focused on completed specialist visits, acknowledged notes,

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Sampey, Libby, Anne M. Finucane, and Juliet Spiller. "Shared electronic care coordination systems following referral to hospice." British Journal of Community Nursing 26, no. 2 (2021): 58–62. http://dx.doi.org/10.12968/bjcn.2021.26.2.58.

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In Scotland, the Key Information Summary (KIS) enables health providers to access key patient information to guide decision-making out-of-hours. KISs are generated in primary care and rely on information from other teams, such as community specialist palliative care teams (CSPCTs), to keep them up-to-date. This study involved a service evaluation consisting of case note reviews of new referrals to a CSPCT and semi-structured interviews with palliative care community nurse specialists (CNSs) regarding their perspectives on KISs. Some 44 case notes were examined, and 77% of patients had a KIS on

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Sii, Samantha, Ahmad Nasser, Cheng Yi Loo, Catherine Croghan, Alan Rotchford, and Pankaj Kumar Agarwal. "The impact of SIGN glaucoma guidelines on false-positive referrals from community optometrists in Central Scotland." British Journal of Ophthalmology 103, no. 3 (2018): 369–73. http://dx.doi.org/10.1136/bjophthalmol-2017-311429.

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BackgroundSince the introduction of National Institute for Health and Care Excellence glaucoma guidelines 2009, the number of referrals from community optometrists to hospital eye services has increased across the UK, resulting in increase in first visit discharge rates (FVDRs).AimTo assess the impact of Scottish Intercollegiate Guidelines Network (SIGN) 144 on quality of referrals from community optometrists.MethodologyA retrospective study of patient records who attended as new adult glaucoma referrals to clinics in Princess Alexandra Eye Pavilion, Edinburgh, and in Greater Glasgow and Clyde

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Gandung, Triyono, Hartati Sri, Pulungan Reza, and Lazuardi Lutfan. "E-Referral System Modeling Using Fuzzy Multiple-Criteria Decision Making." Indonesian Journal of Electrical Engineering and Computer Science 11, no. 2 (2018): 475–86. https://doi.org/10.11591/ijeecs.v11.i2.pp475-486.

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Currently, the quality of health services in Indonesia is getting better. However, referral systems still face many problems. The first is the difficulty in determining the referral hospitals based on patients' background and condition. The second is the many different parameters used to determine the referral hospitals between countries. Based on these issues, it is necessary to improve the current systems’ capabilities. This study develops a model of an e-referral information system that takes into account patients’ background. Some of the methods used in the model include in

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West, Chase, Matthew Butler, Supreet Kaur, Elizabeth Bowhay-Carnes, Usha Perepu, and Anand Karnad. "The Burden of Inpatient Classical Hematology Referrals at a 700-Bed University Hospital: Opportunities for Growth." Blood 144, Supplement 1 (2024): 7562. https://doi.org/10.1182/blood-2024-206500.

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Background: Classical hematology (CH) represents a significant proportion of hematology/oncology-related referrals in the outpatient setting. Hematologists also must contend with a high demand for CH referrals in the inpatient setting, and the combination of this high demand with an overall CH-workforce shortage puts immense strain on the referral systems and quality of CH-related care. It also affects the career satisfaction of hematologists and the decision-making of trainees interested in a hematology/oncology career. The objective of this study was to conduct an analysis of CH inpatient re

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Stoyanova, Ts., T. Zlatanova, and D. Penchev. "PATIENT INFORMEDNESS ON THE REGULATION OF ACCESS TO SOCIALISED OUTPATIENT MEDICAL CARE." Sciences of Europe, no. 130 (December 11, 2023): 34–38. https://doi.org/10.5281/zenodo.10352331.

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The patients' access to medical care is one of the indicators used to assess healthcare systems. After the establishment of the general practitioner institution, the access to specialist outpatient care has been conducted after a specialist referral is secured. The National Health Insurance Fund operates on a fixed budget that's established by law, and there is no funding for payments in case physicians report more physical exams. In case the limit for referrals is reached, any health-insured person may be declined a physical exam and the needed medical care may not be covered by the budget, t

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Krmpotic, Kristina, Jade Dirk, Julien Gallant, et al. "Development of the Nova Scotia Potential Donor Audit (PDA) Tool and 2020 Historic Performance Database: Lessons Learned From the First 1000 Medical Record Reviews." Transplantation Direct 9, no. 11 (2023): e1545. http://dx.doi.org/10.1097/txd.0000000000001545.

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Background: Legislation and accountability frameworks are key components of high-performing deceased-donation systems. In 2021, Nova Scotia (NS), Canada, became the first jurisdiction in North America to enact deemed consent legislation and concurrently implemented mandatory referral legislation similar to that found in other Canadian provinces. Frontline financial resources were provided by the government to support the development of program infrastructure, including implementation of means to evaluate system performance. Methods: The Organ Donation Program (ODP), in collaboration with other

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Guddu, Dessalegn Keney, and Dereje Bayissa Demissie. "Patient satisfaction with referral service and associated factors among public hospitals in and around Addis Ababa, Central Ethiopia." SAGE Open Medicine 10 (January 2022): 205031212210894. http://dx.doi.org/10.1177/20503121221089443.

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Objective: Studies in sub-Saharan Africa have shown that patient satisfaction with referral procedures and systems is low due to multiple factors. Despite the challenges on patient satisfaction with referral service in Ethiopia, there are only limited studies on overall satisfaction and associated factors with referral services of the hospitals. The purpose of this study was to determine patient satisfaction with referral services and related characteristics among patients referred to referral hospitals in Central Ethiopia, in the year 2021. Methods: A facility-based multi-center cross-section

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Vanderkruik, Rachel, Marlene P. Freeman, Margaret Gaw, et al. "A mixed-methods study protocol: Perinatal depression screening systems and outcomes in obstetrics clinics." PLOS ONE 20, no. 3 (2025): e0319181. https://doi.org/10.1371/journal.pone.0319181.

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Perinatal depression (PND) is an underrecognized and underdiagnosed public health issue with long-term adverse impacts on birthing parents and their children. While obstetrics practices are increasingly encouraged to use existing evidence-based screening tools, there is little data describing the extent to which screening practices and subsequent referrals to care are implemented in clinical settings. The Screening and Treatment Enhancement for Perinatal Depression (STEPS for PPD) study aims to characterize PND screening and referral procedures and identify areas for system improvements. We de

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Nehls, Nicole, Tze Sheng Yap, Talya Salant, et al. "Systems engineering analysis of diagnostic referral closed-loop processes." BMJ Open Quality 10, no. 4 (2021): e001603. http://dx.doi.org/10.1136/bmjoq-2021-001603.

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BackgroundClosing loops to complete diagnostic referrals remains a significant patient safety problem in most health systems, with 65%–73% failure rates and significant delays common despite years of improvement efforts, suggesting new approaches may be useful. Systems engineering (SE) methods increasingly are advocated in healthcare for their value in studying and redesigning complex processes.ObjectiveConduct a formative SE analysis of process logic, variation, reliability and failures for completing diagnostic referrals originating in two primary care practices serving different demographic

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Ras, J., L. Koen, U. A. Botha, and D. J. H. Niehaus. "An audit of non-urgent general adult referrals to Stikland State Psychiatric Facility." South African Journal of Psychiatry 17, no. 4 (2011): 4. http://dx.doi.org/10.4102/sajpsychiatry.v17i4.312.

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<p><strong>Objectives.</strong> The national Department of Health strongly advocates the strengthening of primary health care systems, and recommendations for appropriate level of care referrals exist. Very few published data on the scope of current ambulatory specialised psychiatric hospital services in South Africa are currently available, making it difficult to assess whether these recommendations are being followed. As a starting point, an audit was conducted to obtain a profile of new non-urgent general adult patients seen at Stikland Hospital with a view to evaluating s

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Swati, Surabhi, Prakash Pawan, Kumar Barjesh, Kumar Chandramohan, Kumar Shailendra, and Kumar Prashant. "A Descriptive Study of the Clinical Profile of Psychiatric Referrals from the Dermatology Unit in a Tertiary Care Center." International Journal of Pharmaceutical and Clinical Research 15, no. 6 (2023): 224–33. https://doi.org/10.5281/zenodo.12119434.

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<strong>Objective:</strong> To study and examine the clinical profile of psychiatry referrals to tertiary care dermatology units. <strong>Methodology:</strong> The medical records of dermatology patients transferred to the psychiatric department were evaluated retrospectively. Assessing demographics, mental diagnoses, comorbidities, and skin conditions. There was a total of 200 people included in the sample; 60% of them were women and 40% were men. <strong>Results:</strong> The study analysed all patients who were referred. The characteristics of the patients dominated

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Jayaprakash, Sindoora, Dijon Millette, and Farishta Khan. "P07 Quality improvement project of acute referrals to the on-call dermatology service." British Journal of Dermatology 189, no. 3 (2023): e45-e46. http://dx.doi.org/10.1093/bjd/ljad259.017.

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Abstract With dermatology services now integrating neural networks and artificial intelligence into departments, the importance of technology to streamline services has been timely in light of the increased influx of referrals needing remote reviews from both community and secondary care. We performed a department quality improvement project to compare referrals made to the on-call dermatology service, Dudley Group NHS trust, during September 2019 and September 2020 against the ‘COVID-19: Clinical guidelines for the management of dermatology patients remotely’. Data were collected from telepho

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Begnaud, Abbie, Thomas Hall, and Tadashi Allen. "Lung Cancer Screening With Low-Dose CT: Implementation Amid Changing Public Policy at One Health Care System." American Society of Clinical Oncology Educational Book, no. 36 (May 2016): e468-e475. http://dx.doi.org/10.1200/edbk_159195.

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Screening for lung cancer with low-dose CT has evolved rapidly in recent years since the National Lung Screening Trial (NLST) results. Subsequent professional and governmental organization guidelines have shaped policy and reimbursement for the service. Increasingly available guidance describes eligible patients and components necessary for a high-quality lung cancer screening program; however, practical instruction and implementation experience is not widely reported. We launched a lung cancer screening program in the face of reimbursement and guideline uncertainties at a large academic healt

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Wilberforce, Mark, Jane Hughes, Paul Clarkson, et al. "An electronic referral system supporting integrated hospital discharge." Journal of Integrated Care 25, no. 2 (2017): 99–109. http://dx.doi.org/10.1108/jica-09-2016-0034.

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Purpose The purpose of this paper is to evaluate the implementation and potential value of an electronic referral system to improve integrated discharge planning for hospitalised older adults with complex care needs. This new technology formed part of the “Common Assessment Framework for Adults” policy in England. Design/methodology/approach Mixed methods were undertaken as part of a case study approach within an acute hospital in the North West of England. First, qualitative interviews were undertaken with practitioners to explore early experiences using the new technology. Second, routinely

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Gunn, Patrick J. G., Joanne R. Marks, Evgenia Konstantakopoulou, et al. "Clinical effectiveness of the Manchester Glaucoma Enhanced Referral Scheme." British Journal of Ophthalmology 103, no. 8 (2018): 1066–71. http://dx.doi.org/10.1136/bjophthalmol-2018-312385.

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BackgroundGlaucoma referral filtering schemes have operated in the UK for many years. However, there is a paucity of data on the false-negative (FN) rate. This study evaluated the clinical effectiveness of the Manchester Glaucoma Enhanced Referral Scheme (GERS), estimating both the false-positive (FP) and FN rates.MethodOutcome data were collected for patients newly referred through GERS and assessed in ‘usual-care’ clinics to determine the FP rate (referred patients subsequently discharged at their first visit). For the FN rate, glaucoma suspects deemed not requiring referral following GERS a

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Kabashiki, Israel R., and Ngozi I. Moneke. "The impact of the use of health information and communication technology on health care delivery in Manitoba, Canada." Journal of Hospital Administration 3, no. 6 (2014): 8. http://dx.doi.org/10.5430/jha.v3n6p8.

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Background: Health Information and Communication Technology (HICT) has the potential to reduce patient wait time and improves patient satisfaction. The Long wait times for patients to receive medical services are a big issue in Canada. The Canadian government has invested in Information and Communication Technology (ICT) to shorten patient referral wait times for medical services. Little was known about the association between ICT investments and the quality of health care delivery, and particularly between the use of ICT and referral wait times in the Manitoba Health System (MHS). Methods: Th

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Alharbi, Abdullah A., Nawfal A. Aljerian, Meshary S. Binhotan, et al. "Digital Surveillance of Mental Health Care Services in Saudi Arabia: Cross-Sectional Study of National e-Referral System Data." JMIR Public Health and Surveillance 11 (January 24, 2025): e64257-e64257. https://doi.org/10.2196/64257.

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Abstract Background Mental illness affects an estimated 25% of the global population, with treatment gaps persisting worldwide. The COVID-19 pandemic has exacerbated these challenges, leading to a significant increase in mental health issues globally. In Saudi Arabia, the lifetime prevalence of mental disorders is estimated at 34.2%, yet 86.1% of those with a 12-month mental disorder report no service use. To address these challenges, digital health solutions, particularly electronic referral (e-referral) systems, have emerged as powerful tools to improve care coordination and access. Saudi Ar

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Fonjungo, Peter N., George A. Alemnji, Yenew Kebede, et al. "Combatting Global Infectious Diseases: A Network Effect of Specimen Referral Systems." Clinical Infectious Diseases 64, no. 6 (2017): 796–803. http://dx.doi.org/10.1093/cid/ciw817.

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Abstract The recent Ebola virus outbreak in West Africa clearly demonstrated the critical role of laboratory systems and networks in responding to epidemics. Because of the huge challenges in establishing functional laboratories at all tiers of health systems in developing countries, strengthening specimen referral networks is critical. In this review article, we propose a platform strategy for developing specimen referral networks based on 2 models: centralized and decentralized laboratory specimen referral networks. These models have been shown to be effective in patient management in progra

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