Today’s referral is tomorrow’s repeat patient: referrals to and between medical outpatient clinics in a hospital

Safi, Mariam; Clay‐Williams, Robyn; Thude, Bettina Ravnborg; Vaisman, Julija; Brandt, Frans

doi:10.1186/s12913-022-07633-y

Cited by 7 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Denmark, outpatient specialist care is delivered at hospital-based outpatient clinics for non-acute patients. The specialist can also refer patients to other specialists for diagnoses and treatment [ 20 ]. The outpatient care clinic is an example of a complex socio-technical system, meaning that the outpatient care clinic’s performance and behavior emerge from the interaction between the people in the system and the technical artefacts (e.g., machines, governing bodies, and technique) [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

The resilient potential behaviours in an Internal Medicine Department: Application of resilience assessment grid

Safi

Thude²,

Brandt³

et al. 2022

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Background The healthcare system is frequently subject to unpredictable conditions such as organisational changes and pandemics. In order to perform as required under these conditions (i.e. exhibiting resilient behaviour), it is necessary to know the current position of the organisation with respect to the four resilient potentials i.e. respond, monitor, learn and anticipate. The study aimed to understand and assess resilient performance of an Internal Medicine Department in a public hospital in Denmark using the resilience assessment grid (RAG). Methods A modified Delphi method was used to develop the context specific RAG, using interviews to generate items, two rounds of expert panel reviews and pilot testing the developed RAG questionnaire. The four sets of structured RAG questions were tested and revised until satisfactory face and content validity for application was achieved. The final version of the RAG (28-item Likert scale) questionnaire was sent electronically to 87 healthcare professionals (clinicians and managers) in January 2021 and 2022. The data was statistically analysed and illustrated in radar charts to assist in interpreting the resilience profiles. Results While the resilience profiles in 2021 and 2022 were similar, the scores in 2022 were slightly lower for some of the sub-indicators. The results indicate areas for improvement, especially related to the Internal Medicine Department’s potential to respond and learn. The results from the RAG were presented to the chief clinical consultants and managers to identify initiatives for quality improvement and for planning a new workflow at the Internal Medicine Department. Conclusion The RAG is a managerial tool to assess the potential resilient performance of the organisation in respect to the four resilience potentials, i.e., responding, monitoring, learning, and anticipating. It can be used to construct the resilience profile of the system over time to manage organisational changes.

show abstract

Section: Methodsmentioning

confidence: 99%

The resilient potential behaviours in an Internal Medicine Department: Application of resilience assessment grid

Safi

Thude²,

Brandt³

et al. 2022

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“…8 Furthermore, this approach supports a patient-centred care approach that is not only collaborative but also cost-effective. 9 The UAC received no commercial funding and patients paid a nominal fee to attend.…”

Section: Traditional Approach To the Complex Airways Patient: The Int...mentioning

confidence: 99%

“…The UAC aimed to improve collaboration between specialists leading to improved health outcomes, timely access to care and accordingly more appropriate health care resource utilisation 8 . Furthermore, this approach supports a patient‐centred care approach that is not only collaborative but also cost‐effective 9 . The UAC received no commercial funding and patients paid a nominal fee to attend.…”

Section: Traditional Approach To the Complex Airways Patient: The Int...mentioning

confidence: 99%

The United Airways Clinic: roadmap of a patient‐centred multidisciplinary approach to the complex airways patient: the Sydney model

Macfie,

Raftopulos,

Eastwood

et al. 2023

Internal Medicine Journal

View full text Add to dashboard Cite

Severe asthma is a subset of difficult‐to‐treat asthma which requires a systematic and multidimensional approach including the need to manage multiple comorbidities that mimic asthma. Multidisciplinary care is becoming the standard for the assessment of such patients. Multidisciplinary team (MDT) clinics are virtually nonexistent in the private space. We developed an MDT clinic to handle needs in the private space and found it was an invaluable tool for assessment, reflective practice and professional development.

show abstract

“…Other definitions were also noted. 15 , 16 This creates a knowledge gap in the literature concerning the internal vs external referrals between regions on a national level.…”

Section: Introductionmentioning

confidence: 99%

External Vs Internal e-Referrals: Results from a Nationwide Epidemiological Study Utilizing Secondary Collected Data

Aljerian,

Alharbi,

Alghamdi

et al. 2024

RMHP

View full text Add to dashboard Cite

Background E-referral systems, streamlining patient access to specialists, have gained global recognition yet lacked a comparative study between internal and external referrals in Saudi Arabia (KSA). Methods This retrospective study utilized secondary data from the Saudi Medical Appointments and Referrals Centre system. The data covers 2020 and 2021, including socio-demographic data, referral characteristics, and specialties. Logistic regression analysis was used to assess factors associated with external referrals. Results Out of 645,425 e-referrals from more than 300 hospitals, 19.87% were external. The northern region led with 48.65%. Males were 55%, and those aged 25–64 were 56.68% of referrals. Outpatient clinic referrals comprised 47%, while 61% of referrals were due to a lack of specialty services. Several significant determinants are associated with higher rates of external referral with (p-value <0.001) and a 95% Confidence interval. Younger individuals under 25 exhibit higher referral rates than those aged 25–64. Geographically, compared to the central region, in descending order, there were increasing trends of external referral in the northern, western, and southern regions, respectively (OR = 19.26, OR = 4.48, OR 3.63). External referrals for outpatient departments (OPD) and dialysis services were higher than for routine admissions (OR = 1.38, OR = 1.26). The rate of external referrals due to the lack of available equipment was more predominant than other causes. Furthermore, in descending order, external referrals for organ transplantation and oncology are more frequent than for medical specialties, respectively (OR = 9.39, OR = 4.50). Conclusion The study reveals trends in e-referrals within the KSA, noting regional differences, demographic factors, and types of specialties regarding external referrals, benefiting the New Model of Care for the 2030 Vision. Findings suggest expanding virtual consultations to reduce external referrals. Strengthening primary care and preventive medicine could also decrease future referrals. Future studies should assess resource distribution, including infrastructure and workforce, to further inform healthcare strategy.

show abstract

Today’s referral is tomorrow’s repeat patient: referrals to and between medical outpatient clinics in a hospital

Cited by 7 publications

References 24 publications

The resilient potential behaviours in an Internal Medicine Department: Application of resilience assessment grid

The resilient potential behaviours in an Internal Medicine Department: Application of resilience assessment grid

The United Airways Clinic: roadmap of a patient‐centred multidisciplinary approach to the complex airways patient: the Sydney model

External Vs Internal e-Referrals: Results from a Nationwide Epidemiological Study Utilizing Secondary Collected Data

Contact Info

Product

Resources

About