Explaining variation in referral from primary to secondary care: cohort study
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چکیده
منابع مشابه
Explaining variation in referral from primary to secondary care: cohort study
OBJECTIVES To determine the extent to which referral for defined symptoms from primary care varies by age, sex, and social deprivation and whether any sociodemographic variations in referral differ according to the presence of national referral guidance and the potential of the symptoms to be life threatening. DESIGN Cohort study using individual patient data from the health improvement netwo...
متن کاملExplaining referral variation.
detailed investigation would lead to no recommendations for change. At the other end of this wide spectrum is the possibility of professional malfeasance (see the paper by Graham Neale on p 14837), and even purposeful harmful acts are not impossible. Unlike the airline pilot, medical professionals do not share the fate of those in their care. Even if the patient dies because the hospital bums d...
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BACKGROUND Methods are needed to ensure that those patients referred from primary to secondary care are those most likely to benefit. In-house referral is the referral of a patient by a general practitioner to another general practitioner within the same practice for a second opinion on the need for secondary care referral. OBJECTIVE To describe whether in-house referral is practical and acce...
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BACKGROUND The primary aim of this study was to describe the variation in intrapartum referral rates in midwifery practices in the Netherlands. Secondly, we wanted to explore the association between the practice referral rate and a woman's chance of an instrumental birth (caesarean section or vaginal instrumental birth). METHODS We performed an observational study, using the Dutch national pe...
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BACKGROUND Practices vary in the duration of newly initiated antidepressant treatment, even after adjusting for patient characteristics. It was hypothesised that this may be because of differences between practices in demographic (practice deprivation and antidepressant prescribing rates), organisational (practice size and proportion of female GPs), and clinical factors (proportion of new episo...
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ژورنال
عنوان ژورنال: BMJ
سال: 2010
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.c6267