Examining the Effect of the GAD-7 and PHQ-9 Instruments and Impact on Patient Referrals

2021 ◽  
Author(s):  
Stacy Berlekamp Spatar
Keyword(s):  
Patient Referrals

RETROSPECTIVE ANALYSIS OF PATIENT REFERRALS FOR COMPUTED TOMOGRAPHY

2018 ◽  
pp. 5-7
Author(s):  
Dinara Baiguisova ◽  
Galina Kausova
Keyword(s):  
Computed Tomography ◽  
Retrospective Analysis ◽  
Radiology Department ◽  
Scientific Center ◽  
Patient Referrals

To conduct a retrospective analysis of patient referrals for computed tomography to identify the main problems, both in writing the direction itself and in its validity. Materials and methods: The patient referrals for computed tomography (CT) were analyzed at the Radiology Department of the National Scientific Center named after AN Syzganov - outpatients for 3 months. Results and discussions: it has been established that, in the main, clinicians, when issuing a referral for a study, ignore such item as a diagnosis, or replace it with the word — examination. There is also the groundlessness and incorrectness of the referrals for the studies, considering their variability and insufficient awareness of doctors both in the indications and the need for a particular study. Conclusion: Clinicians are not sufficiently aware of the correctness of referrals for computed tomography and, as a result, write out incorrect referrals.

scholarly journals Surgical ambulance referrals in sub-Saharan Africa – financial costs and coping strategies at district hospitals in Tanzania, Malawi and Zambia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Martilord Ifeanyichi ◽  
Henk Broekhuizen ◽  
Mweene Cheelo ◽  
Adinan Juma ◽  
Gerald Mwapasa ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Surgical Care ◽  
Sub Saharan Africa ◽  
Financial Reports ◽  
Study Approach ◽  
Hospital Managers ◽  
District Hospitals ◽  
Sub Saharan ◽  
Microsoft Office ◽  
Patient Referrals

Abstract Background An estimated nine out of ten persons in sub-Saharan Africa (SSA) are unable to access timely, safe and affordable surgery. District hospitals (DHs) which are strategically located to provide basic (non-specialist) surgical care for rural populations have in many instances been compromised by resource inadequacies, resulting in unduly frequent patient referrals to specialist hospitals. This study aimed to quantify the financial burdens of surgical ambulance referrals on DHs and explore the coping strategies employed by these facilities in navigating the challenges. Methods We employed a multi-methods descriptive case study approach, across a total of 14 purposively selected DHs; seven, three, and four in Tanzania, Malawi and Zambia, respectively. Three recurrent cost elements were identified: fuel, ambulance maintenance and staff allowances. Qualitative data related to coping mechanisms were obtained through in-depth interviews of hospital managers while quantitative data related to costs of surgical referrals were obtained from existing records (such as referral registers, ward registers, annual financial reports, and other administrative records) and expert estimates. Interview notes were analysed by manual thematic coding while referral statistics and finance data were processed and analysed using Microsoft Office Excel 2016. Results At all but one of the hospitals, respondents reported inadequacies in numbers and functional states of the ambulances: four centres indicated employing non-ambulance vehicles to convey patients occassionally. No statistically significant correlation was found between referral trip distances and total annual numbers of referral trips, but hospital managers reported considering costs in referral practices. For instance, ten of the study hospitals reported combining patients to minimize trip frequencies. The total cost of ambulance use for patient transportation ranged from I$2 k to I$58 k per year. Between 34% and 79% of all patient referrals were surgical, with total costs ranging from I$1 k to I$32 k per year. Conclusion Cost considerations strongly influence referral decisions and practices, indicating a need for increases in budgetary allocations for referral services. High volumes of potentially avoidable surgical referrals provide an economic case – besides equitable access to healthcare – for scaling up surgery capacity at the district level as savings from decreased referrals could be reinvested in referral systems strengthening.

scholarly journals Mass Spectrometry but Not Fluorimetry Distinguishes Affected and Pseudodeficiency Patients in Newborn Screening for Pompe Disease

2017 ◽  
Vol 63 (7) ◽  
pp. 1271-1277 ◽  
Author(s):  
Hsuan-Chieh Liao ◽  
Min-Ju Chan ◽  
Chia-Feng Yang ◽  
Chuan-Chi Chiang ◽  
Dau-Ming Niu ◽  
...  
Keyword(s):  
Mass Spectrometry ◽  
Newborn Screening ◽  
Pompe Disease ◽  
Late Onset ◽  
Asian Population ◽  
Dried Blood Spots ◽  
Fluorimetric Assay ◽  
Analytical Range ◽  
Patient Referrals

Abstract BACKGROUND Deficiency of the lysosomal enzyme acid α-glucosidase (GAA) causes Pompe disease. Newborn screening for Pompe disease is ongoing, and improved methods for distinguishing affected patients from those with pseudodeficiency, especially in the Asian population, would substantially reduce the number of patient referrals for clinical follow-up. METHODS We measured the enzymatic activity of GAA in dried blood spots on newborn screening cards (DBS) using a tandem mass spectrometry (MS/MS) assay. The assay displayed a relatively large analytical range compared to the fluorimetric assay with 4-methylumbelliferyl-α-glucoside. DBS from newborns confirmed to have infantile-onset Pompe disease (IOPD, n = 11) or late-onset Pompe disease (LOPD) (n = 12) and those from patients bearing pseudodeficiency alleles with or without Pompe mutations, or Pompe disease carriers (n = 230) were studied. RESULTS With use of the MS/MS GAA assay in DBS, 96% of the pseudodeficiency newborns and all of the Pompe disease carriers were well separated from the IOPD and LOPD newborns. The fluorimetric assay separated <10% of the pseudodeficiencies from the IOPD/LOPD group. CONCLUSIONS The relatively large analytical range MS/MS GAA assay but not the fluorimetric assay in DBS provides a robust approach to reduce the number of referrals and should dramatically facilitate newborn screening of Pompe disease.

scholarly journals Complex social intervention for multidisciplinary teams to improve patient referrals in obstetrical care: protocol for a stepped wedge study design

BMJ Open ◽  
2016 ◽  
Vol 6 (7) ◽  
pp. e011443 ◽  
Author(s):  
Anita Romijn ◽  
Martine C de Bruijne ◽  
Pim W Teunissen ◽  
Christianne J M de Groot ◽  
Cordula Wagner
Keyword(s):  
Study Design ◽  
Social Intervention ◽  
Multidisciplinary Teams ◽  
Stepped Wedge ◽  
Obstetrical Care ◽  
Care Protocol ◽  
Patient Referrals ◽  
Improve Patient

scholarly journals The orthopaedic waiting list crisis

2021 ◽  
Vol 2 (7) ◽  
pp. 530-534
Author(s):  
Matthew Hampton ◽  
Ella Riley ◽  
Naren Garneti ◽  
Alexander Anderson ◽  
Kevin Wembridge
Keyword(s):  
Primary Care ◽  
Secondary Care ◽  
Waiting Lists ◽  
Waiting List ◽  
Retrospective Data ◽  
Day Case ◽  
Number Of Patients ◽  
Robust Planning ◽  
Therapy Services ◽  
Patient Referrals

Aims Due to widespread cancellations in elective orthopaedic procedures, the number of patients on waiting list for surgery is rising. We aim to determine and quantify if disparities exist between inpatient and day-case orthopaedic waiting list numbers; we also aim to determine if there is a ‘hidden burden’ that already exists due to reductions in elective secondary care referrals. Methods Retrospective data were collected between 1 April 2020 and 31 December 2020 and compared with the same nine-month period the previous year. Data collected included surgeries performed (day-case vs inpatient), number of patients currently on the orthopaedic waiting list (day-case vs inpatient), and number of new patient referrals from primary care and therapy services. Results There was a 52.8% reduction in our elective surgical workload in 2020. The majority of surgeries performed in 2020 were day case surgeries (739; 86.6%) with 47.2% of these performed in the independent sector on a ‘lift and shift’ service. The total number of patients on our waiting lists has risen by 30.1% in just 12 months. As we have been restricted in performing inpatient surgery, the inpatient waiting lists have risen by 73.2%, compared to a 1.6% rise in our day-case waiting list. New patient referral from primary care and therapy services have reduced from 3,357 in 2019 to 1,722 in 2020 (49.7% reduction). Conclusion This study further exposes the increasing number of patients on orthopaedic waiting lists. We observed disparities between inpatient and day-case waiting lists, with dramatic increases in the number of inpatients on the waiting lists. The number of new patient referrals has decreased, and we predict an influx of referrals as the pandemic eases, further adding to the pressure on inpatient waiting lists. Robust planning and allocation of adequate resources is essential to deal with this backlog. Cite this article: Bone Jt Open 2021;2(7):530–534.

Telemedicine as a tool for remote interaction with regional hospitals: 5-year experience of the National Research Center for Hematology

2020 ◽  
pp. 68-77
Author(s):  
K. A. Lukina ◽  
◽  
D. A. Zaytcev ◽  
T. T. Garmaeva ◽  
L. P. Mendeleeva ◽  
...  
Keyword(s):  
Medical Care ◽  
Legal Regulation ◽  
Progressive Increase ◽  
Research Center ◽  
Blood Disorders ◽  
Federal Districts ◽  
Regional Hospitals ◽  
Patient Referrals ◽  
Timely Treatment

Significant expansion of telemedicine technologies was made possible by the adoption of the necessary legal regulation and initiation of the national program “Healthcare”. National research centers were assigned a mission to provide advisory and methodological support to the regional hospitals. The manuscript describes the experience of the National Research Center for Hematology in application of telemedicine technologies in order to improve the quality of specialized medical care. Progressive increase in the number of requests for telemedicine consultations was observed during the last 5 years, also due to the activities aimed at expansion of geographical coverage of telemedicine technologies and involvement of the regional doctors. In 2019 1380 requests were received from 80 regions of the Russian Federation. The largest number of requests came from the hospitals of the Central (28%) and Siberian (25%) Federal Districts. Distribution of consultations by aim, disease, regions of origin is presented in the manuscript. Telemedicine consultations significantly contribute to the implementation of precise diagnostics and monitoring of patients with blood disorders, shortening of the time of diagnosis, timely treatment initiation, help to organize correct patient referrals, ultimately reducing the risks of treatment failure, complications and lethal outcomes. Analysis of the data accumulated in the consulting National research center allows to assess the quality and effectiveness of medical care in the regional hospitals.

Referral Tree Greens up Patient Referrals

1998 ◽  
Vol 77 (6) ◽  
pp. 499-499
Author(s):  
Alan L. Bernstein
Keyword(s):  
Patient Referrals

Priority and appropriateness of upper endoscopy out-patient referrals: Two-period comparison in an open-access unit

2019 ◽  
Vol 51 (11) ◽  
pp. 1562-1566 ◽  
Author(s):  
Alberto Meggio ◽  
Giuliano Mariotti ◽  
Maria Gentilini ◽  
Giovanni de Pretis
Keyword(s):  
Open Access ◽  
Upper Endoscopy ◽  
Patient Referrals
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