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Additionally, Mayo Clinic's e-consult resulted in a shorter time frame of 1 day and 6 hours, compared to 7 days and 20 hours for traditional consultation. In a study at San Francisco General Hospital, 60% of PCPs reported better access for non-urgent issues, and 54% reported shorter wait times for arranging a new appointment with a specialist. [7]
Finland was the first country to implement an e-referral system, introduced in the capital city of Helsinki in 1990. The e-referral project was put in place to allow for a more cost-effective way of treating a bigger number of patients, increase productivity and to improve access to healthcare.
In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request. [ 1 ] [ 2 ] Tertiary care is usually done by referral from primary or secondary medical care personnel.
Consultation Note - The Consultation Note is generated by a request from a clinician for an opinion or advice from another clinician. [ 7 ] Continuity of Care Document - The Continuity of Care Document (CCD) represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare ...
A comparison of an enhanced-referral system to a BHC model found that more than 80% of medical providers rated communication between themselves and the BHC as occurring "frequently," relative to less than 50% in an enhanced-referral model of care. Providers strongly preferred an integrated care model to the enhanced-referral model. [17]
Electronic referral, when a specialist evaluates medical data (such as laboratory tests or photos) to diagnose a patient instead of seeing the patient in person, would often improve health care quality and lower costs. However, "in the private fee-for-service context, the loss of specialist income is a powerful barrier to e-referral, a barrier ...
[citation needed] [1] The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter. [2] In some instances, the nature of a patient's chief complaint may determine if services are covered by health insurance .
- In UK, as a form to practice more hands on medicine and reduce the bureaucratic burden posed on permanent GPs. Cons - Pay and distance to work may vary significantly due to market conditions. - The need to adjust to different computer systems, local protocols and referral pathways. - Lack of control on the organization of the workplace.
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