scholarly journals Transforming the specialist referral and consultation process in Canada

2019 ◽  
Vol 191 (15) ◽  
pp. E408-E409
Author(s):  
Erin Keely ◽  
Clare Liddy
Keyword(s):  
Referral And Consultation ◽  
Consultation Process ◽  
Specialist Referral

scholarly journals Utilization of Computers in Clinical Practice - Role of Physician Networks: Preliminary Communication

1983 ◽  
Vol 76 (1) ◽  
pp. 45-52 ◽  
Author(s):  
J G Anderson ◽  
S J Jay
Keyword(s):  
Clinical Practice ◽  
Medical Information ◽  
Three Dimensional ◽  
Private University ◽  
Referral And Consultation ◽  
Medical Information System ◽  
Consultation Process ◽  
Professional Activities ◽  
Three Dimensional Representation ◽  
Physician Networks

This study examines the influence of physician networks on the utilization of computers in clinical practice. Data on patient referrals, consultations, professional discussions, and on-call coverage were collected from 24 physicians who comprise a private group practice. Their utilization of a computerized hospital medical information system (HIS) in caring for patients admitted to a 1160-bed private, university affiliated, teaching hospital was determined. A matrix representing the professional relations among these physicians was subjected to smallest space analysis, a form of multidimensional scaling. Also, a number of indices that describe structural and interactional properties of the network and individual physicians were computed. The three-dimensional representation of the network that resulted from the analysis suggests a two-step process of adoption and utilization of medical technology. Physicians who were engaged in outside professional activities and in the training of medical students and house staff were more likely to utilize the system in caring for patients. These physicians, who were more centrally located and dominant in the referral and consultation process, were more likely to influence the practice patterns of their colleagues. The use of network analysis to identify influential physicians whose involvement is essential to the success of efforts aimed at introducing computers into clinical practice is discussed.

Developing a Pediatric Curriculum on the Referral and Consultation Process

2014 ◽  
Vol 14 (4) ◽  
pp. e6
Author(s):  
Claire O. Boogaard ◽  
Jessica R. Weisz ◽  
Lindsey Lane ◽  
Janice Hanson ◽  
Mary Ottolini ◽  
...  
Keyword(s):  
Referral And Consultation ◽  
Consultation Process

Evaluation of a Telehealth Clinic as a Means to Facilitate Dermatologic Consultation: Pilot Project to Assess the Efficiency and Experience of Teledermatology Used in a Primary Care Network

2010 ◽  
Vol 14 (1) ◽  
pp. 7-12 ◽  
Author(s):  
David A. Ludwick ◽  
Charles Lortie ◽  
John Doucette ◽  
Jaggi Rao ◽  
Christine Samoil-Schelstraete
Keyword(s):  
Primary Care ◽  
Pilot Project ◽  
Care Process ◽  
Wait Times ◽  
Referral Process ◽  
Consultation Process ◽  
Face To Face ◽  
Specialist Referral ◽  
Field Notes ◽  
Patients Experience

Background: Primary care offices spend considerable time coordinating the specialist referral process. Patients experience long wait times for consultation and intervention. Objective: To determine if telehealth combined with interdisciplinary team–based care can reduce wait times for dermatologic consultation while making the consultation process easier for physicians. Methods: Retrospective chart reviews as well as patient, referring physician, nonreferring physician, clinic physician, nurse, and teledermatologist interviews were used to evaluate the clinic. A comparative immersion approach generated themes from field notes. Wait times, appointment times, and encounter durations were measured. Results: Twenty-eight patients were seen (23 had previous specialist referral experience) within 1 week of referral compared to a wait period of 104 days for conventional referral. Patients requiring intervention were treated within 1 week of their initial appointment. Referring practitioners were concerned that they would lose control of patients' care. An easier referral process and faster intakes met physician expectations. Conclusions: Teledermatology improves the timeliness of appointments. Patients forgo face-to-face appointments if alternatives are available sooner. Physicians are concerned about their own liability if dermatologists do not assess the patient in person but will refer through teledermatology when patients are seen faster and they remain in control of the care process.

Tools for Learning About the Referral and Consultation Process for Pediatric Residents

2018 ◽  
Vol 18 (3) ◽  
pp. 357-359 ◽  
Author(s):  
Sarah Muradian ◽  
Alicia Widge ◽  
Janice L. Hanson ◽  
J. Lindsey Lane ◽  
Claire Boogaard ◽  
...  
Keyword(s):  
Referral And Consultation ◽  
Consultation Process ◽  
Pediatric Residents

Employees' Perceptions of the Effects of Retrenchment on Job Stress and Organisational Commitment in a Mining Company

2019 ◽  
Vol 43 ◽  
Author(s):  
Landiswa Seteni ◽  
Pierre Joubert ◽  
Manilall Dhurup
Keyword(s):  
Job Stress ◽  
Quantitative Research ◽  
Negative Impact ◽  
Surface Mining ◽  
Future Research ◽  
Global Changes ◽  
Organisational Commitment ◽  
Consultation Process ◽  
Mining Company ◽  
Time Stress

Over the past decade, South African organisations have had to cope with an ever-increasing rate of local and global changes. There have been considerable and ongoing socio-political changes, resulting from new government regulations. Most organisations have experienced some type of downturn, whether due to external business factors or poor internal performance. A typical response to organisational decline is retrenchment. Our study sought to explore employees’ perceptions of the effects of retrenchment on job stress and organisational commitment in a mining company. The study was located within a quantitative research paradigm. Four research hypotheses were posited and data was collected in one region from a sample of 400 surface mining employees, including management, administrators, engineers and artisans. The results showed that the effects of retrenchment did not have a negative impact on job stress (time stress and anxiety). This may be due to the fact that the mining company in question had a planning and consultation process in place for the employees prior to the retrenchment process. The results also showed that job stress (time stress and anxiety) was negatively associated with organisational commitment. To conclude this article we discuss the implications of our findings, outline the limitations of our study and make recommendations for future research.

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