Doctors have a crucial role in promoting the physical wellbeing of patients and ensuring that they are given the safest and effective treatments that meet their medical needs and preferences. Due to an extensive area of the field of medicine, doctors do not have complete knowledge about a patient diagnosis and the special tools required, hence there is need for referral. Referral requires the t...

PURPOSE Cardiac rehabilitation (CR) is widely underutilized because of multiple factors including physician referral practices. Previous research has shown CR referral varies by type of provider, with cardiologists more likely to refer than primary care physicians. The objective of this study was to compare factors affecting CR referral in primary care physicians versus cardiac specialists. M...

OBJECTIVE To assess the effect that a training intervention for traditional birth attendants (TBAs) in Guatemala had on the detection of obstetric complications, the referral of patients with complications to the formal health care system, and, ultimately, those patients' utilization of essential obstetric care services. METHODS Using a quasi-experimental design, a surveillance system of birt...

BACKGROUND Early access to tuberculosis diagnosis and treatment remains a challenge in developing countries. General use of informal providers such as storekeepers is common. The aim of this study was to determine the effectiveness and acceptability of a storekeeper-based referral system for TB suspects in urban settings of Lilongwe, Malawi. METHODS The referral system intervention was implem...

BACKGROUND Current guidelines suggest a "door-in-door-out" (DIDO) time of 30 minutes or shorter for patients with ST-segment elevation myocardial infarction (STEMI) who arrive at a STEMI referral hospital and are transferred to a STEMI-receiving center for primary percutaneous coronary intervention. Experts previously identified 18 system practices as critical for reducing DIDO times. The objec...

conclusions considering the high prevalence of cardiovascular diseases and fractures in iranian pilgrims, the necessity of self-care education to diminish such rates is substantial. results a total of 177 referral cases from iranian clinics to iraqi hospitals were recorded in 5 months. most of these referrals were due to cardiovascular diseases with 38.6%, then comes trauma with 26.55%, and fin...

In Pakistan, despite an elaborate network of over 5000 basic health units and rural health centres, supported by higher-level facilities, primary health care activities have not brought about expected improvements in health status, especially of rural population groups. A poorly functioning referral system may be partly to blame. System analysis of patient referral was conducted in a district o...

Introduction: Otolaryngology is a field with a high referral rate; however, there is a dearth of research on the quality of referral letters written in this field. This study was carried out to explicitly assess the quality of referral letters, more specifically in the field of otology.   Materials and Methods: Two otologists assessed referral letters written by general ...

Objectives: To determine why and when clinical care teams refer patients to the medical library.
 Methods: A 2018 survey of at a research hospital measured awareness library services available patients, facilitators barriers referral, likelihood future referral. Spearman correlations were used strength relationships between familiarity with how often respondents referred those services. Re...