social capital is a multi-faceted phenomenon in social sciences that massively affects many social fields. it can be a helpful factor in promoting health. among the groups with high burnout, nurses have always shown higher levels of burnout. studies have revealed that social capital can be an important factor affecting burnout. this study aimed to determine the extent of the effect of social ca...

Background:Few data exist for referral processes in resource-limited settings. We utilized mixed-methods to evaluate the impact of a standardized algorithm and training module developed for locally identified needs in referral/counter-referral procedures between primary health centers (PHCs) and a Guatemalan referral hospital. Methods: PHC personnel and hospital physicians participated in surve...

BACKGROUND To identify patient and health system characteristics associated with late referral of patients with chronic kidney disease to nephrologists. METHODS MEDLINE, CENTRAL, and CINAHL were searched using the appropriate MESH terms in March 2007. Two reviewers individually and in duplicate reviewed the abstracts of 256 articles and selected 18 observational studies for inclusion. The rea...

Conclusion The PSCS provides care in the community and has released capacity at the University Hospital of North Staffordshire (UHNS). The orthoptic referral triage system directs patients appropriately to PSCS or UHNS appointments. The refractive prescribing guidelines help to maintain a standardised quality of care. Electronic referral management reduces administrative error. Referral pathway...

BACKGROUND The primary care specialist interface is a key organisational feature of many health care systems. Patients are referred to specialist care when investigation or therapeutic options are exhausted in primary care and more specialised care is needed. Referral has considerable implications for patients, the health care system and health care costs. There is considerable evidence that th...

Background Congenital heart disease (CHD) is the most common lethal congenital anomaly. Early diagnosis of CHD by fetal echocardiography based on maternal and fetal indications is important and lifesaving. The aim of study was to assess the referral aspects of pregnant women to pediatric cardiologist. Materials and Methods This was a retrospective cross-sectional study on 250 documents of refer...

INTRODUCTION Cutting back on the staff and equipment and also reduction of costs and devices, balanced distribution of resources for optimal use and prevention of unreasonable costs for patients are some advantages of the fulfillment of referral system process. Accordingly the purpose of the present study is to determine factors affecting the fulfillment of referral system process from the view...

BACKGROUND Successful subspecialty referrals require considerable coordination and interactive communication among the primary care provider (PCP), the subspecialist, and the patient, which may be challenging in the outpatient setting. Even when referrals are facilitated by electronic health records (EHRs) (i.e., e-referrals), lapses in patient follow-up might occur. Although compelling reasons...

BACKGROUND Electronic referral (eReferral) from community into public secondary healthcare services was introduced to 30 referring general medical practices and 28 hospital based services in late 2007. OBJECTIVES To measure the extent of uptake of eReferral and its association with changes in referral processing. METHODS Analysis of transactional data from the eReferral message service and ...