Explaining referral variation.

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Explaining 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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Explaining variation in GP referral rates for x-rays for back pain

BACKGROUND Despite the availability of clinical guidelines for the management of low back pain (LBP), there continues to be wide variation in general practitioners' (GPs') referral rates for lumbar spine x-ray (LSX). This study aims to explain variation in GPs' referral rates for LSX from their accounts of the management of patients with low back pain. METHODS Qualitative, semi-structured int...

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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...

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Psychological Factors Explaining the Referral Behavior of Iranian Family Physicians

BACKGROUND The recently developed policy of the family practice program in rural regions of Iran faced some challenges such as inefficient referral system. The health insurance organizations (purchaser) and health policy makers are concerned about the high rate of patient referrals from family physicians to specialists due to imposing unnecessary services and costs. OBJECTIVES This study exam...

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Explaining Fertility Variation in Twentieth Century Sweden

This paper aims at explaining medium-term fertility variations in twentieth century Sweden by relating the total fertility rate to macro-level economic change and gender-specific changes in economic factors relevant to women’s childbearing behaviour. Economic theory is combined with a structural analytical approach in the multivariate time series analysis of the determinants of fertility. A mod...

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ژورنال

عنوان ژورنال: BMJ

سال: 1993

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.307.6917.1439