Determinants of primary care specialty choice
نویسندگان
چکیده
منابع مشابه
Primary care physician specialty referral decision making: patient, physician, and health care system determinants.
PURPOSE To examine the effects of patient, physician, and health care system characteristics on primary care physicians' (PCPs') specialty referral decision making. METHODS Physicians (n=142) and their practices (n=83) located in 30 states completed background questionnaires and collected survey data for all patient visits (n=34,069) made during 15 consecutive workdays. The authors modeled th...
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M S JONES PRESENTS TO HER PRIMARY CARE physician (PCP), Dr Sanchez, with symptoms of persistent diarrhea. Using prereferral guidelines posted on his practice’s electronic referral system, he rules out Clostridium difficile, other bacterial and parasitic infections, and celiac disease. He refers her to a gastroenterologist, Dr Lee, for further evaluation and possible colonoscopy. When Ms Jones a...
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(HSCL)—factors derived from the HSCL-90. J Affect Disord 1979;1:9-24. 11 Oxman TE, Dietrich AJ, Williams JW Jr, Kroenke K. A three-component model for reengineering systems for the treatment of depression in primary care. Psychosomatics 2002;43:441-50. 12 Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001;16:606-13. 13 Kroenke K...
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There is growing evidence of sub-optimal care coordination in the US. Care coordination includes the specialty referral process, which involves referral decision-making and information transfer between primary and specialty care. This article summarizes the evidence of sub-optimal care coordination in this process, as well as potential strategies to improve it.
متن کاملThe pediatric primary-specialty care interface: how pediatricians refer children and adolescents to specialty care.
OBJECTIVE To describe how pediatricians refer patients to specialists, including frequency of referral decisions, reasons for referral, and types of referrals. DESIGN We conducted a prospective study of visits (N = 58 771) made to 142 pediatricians in a national primary care practice-based research network. During 20 consecutive practice days, physicians and parents completed questionnaires f...
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ژورنال
عنوان ژورنال: Academic Medicine
سال: 1995
ISSN: 1040-2446
DOI: 10.1097/00001888-199507000-00013