BACKGROUND Despite guideline recommendations that patients undergoing percutaneous coronary intervention (PCI), coronary artery bypass surgery, or valve surgery be referred to cardiac rehabilitation, cardiac rehabilitation is underused. The objective of this study was to examine hospital-level variation in cardiac rehabilitation referral after PCI, coronary artery bypass surgery, and valve surg...

OBJECTIVE To test the hypothesis that hospital referral for unexplained abdominal pain might occur less frequently in oral contraceptive (OC) users and more frequently in intrauterine device (IUD) users than in other women. DESIGN Prospective cohort study of 17 032 women using different methods of contraception [the Oxford-Family Planning Association (FPA) contraceptive study]. OUTCOME MEAS...

OBJECTIVES Against the public health implications of untreated mental illness among general hospital inpatients, this study aimed firstly to examine hospital physicians' level of referral to a psychiatric service, and secondly, to explore the extent of these doctors' knowledge of psychiatric issues by comparing their reasons for referring patients with patients' final psychiatric diagnoses. M...

Background and Aim: In-hospital rebleeding and early aneurysm rupture are major causes of mortality and morbidity in aneurysmal subarachnoid hemorrhage. Rebleeding may occur at the referring hospital, during transfer or at the referral neurovascular center prior to surgical or endovascular treatment. However, there has been no report regarding the rate of in-hospital rebleeding and early aneury...

OBJECTIVE To examine the variation in rates of admission to hospital among general practices, to determine the relation between referral rates and admission rates, and to assess the extent to which variations in outpatient referral rates might account for the different patterns of admission. DESIGN A comparison of outpatient referral rates standardised for age and sex and rates of elective ad...

In face of major public health emergencies, how to ensure the orderly and stable operation city hospitals? Based on theory method complex network, in this paper, we put forward construction hospital referral networks, analyze static characteristics constructed discuss invulnerability networks with four attacking modes, propose two ways (or integrated) optimize which are: (i) Identifying protect...

SUMMARY Background. Individual feedback on general practitioners' requests fo r tests can im prove the q u a lity o f th e ir test ordering behaviour. Little is known o f the side effects on hospital referral behaviour when the use o f tests is reduced through feedback. Aim. A study was undertaken to explore changes in general practitioners' hospital referral rates in a region where their use o...

OBJECTIVES To determine the prevalence and to characterise Gaucher's disease in terms of socio-demographic data, clinical presentation, and management as seen at Kenyatta National Hospital. DESIGN A retrospective record based study. SETTING Kenyatta National Hospital, a referral and teaching hospital. MAIN OUTCOME MEASURES Prevalence (number of cases seen a year), of Gaucher's disease, so...