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A specialist survey at Mayo Clinic agreed that e-consult was less disruptive than consultations by telephone or pager by 67%. And at the San Francisco General Hospital there was a reduction of 2.1% in inappropriate specialty referrals by the surgical specialty clinicians compared to 9.8% of paper-based referrals.
Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.
Also transmission of referral information is secured, upholding Consumer privacy. Benefits can also be seen beyond the patient level, e-referrals can improve practice productivity. Documentation quality is improved by removing the use of illegible handwriting as well as poor quality faxed documentation.
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There is a large volume research indicating that self-referral has a major effect on increasing medical costs in the US. David Levin estimated the cost of unnecessary self-referred imaging in 2004 to be, conservatively, $16 billion per year. [3] There are several examples showing that self-referral increases utilization and costs:
The huisarts (literally: "home doctor") administers first line, primary care. In the Netherlands, patients usually cannot consult a hospital specialist without a required referral. Most GPs work in private practice although more medical centers with employed GPs are seen. Many GPs have a specialist interest, e.g. in palliative care.
Patient Group Directions (PGDs) are medico-legal documents in the U.K. National Health Service that permit the supply of prescription-only medicines to groups of patients, without individual prescriptions. [1] The first digital version of an authorised PGD was created by the pharmacist Wojtek Michael Bereza. [2]
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