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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.
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.
Often times we avoid seeing the doctor due to the many hassles associated with it. In this episode Dr. Mike explains how you can get the most out of your doctors appointments so you can stay happy ...
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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]
See a complete list of options in our guide to health insurance for early retirees. Sources Medicare & You 2025 [PDF] , Medicare.gov. Accessed October 15, 2024.
The situation in the US is not entirely clear. [2]According to the World Medical Association, [3]. The AMA Code provides that payment by or to a physician solely for the referral of a patient is unethical as is the acceptance by a physician of payment of any kind, and in any form, from any source such as a pharmaceutical company or pharmacist or a manufacturer of medical appliances and devices ...