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A referral is a letter from a primary care doctor to another healthcare professional, asking them to provide a diagnosis or treatment to a specific person.
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.
Medical scribes generate referral letters for physicians, book appointments and manage and sort medical documents within the EHR system, as well as performing some quasi-secretarial duties. Some scribes assist with e-prescribing (this is prohibited in some jurisdictions and allowed in others).
Doctors have opposed Bupa's open referral system, arguing that the system reduces patient choice. [7] Patients that have previously received treatment from a particular consultant may not be able to use them again if they don't appear on the approved list after moving to a product that uses Open Referral.
A 2007 study found that a patient being cared for by a physician who practiced self-referral for imaging studies was 1.196 to 3.228 times more likely to have an imaging study done as compared to a patient being cared for by a physician who did not practice self-referral. [4]
The e-referral initiative has been acknowledged globally, with many countries having successfully adopted the system. Including Finland who implemented the e-referral in 1990, Denmark in 1995, [12] Norway in 1996, Netherlands in 2001, New Zealand in 2007. [13] and Australia in 2009. [14]
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