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Modeling and analysis of primary care to specialty care referral process: A case study at the university of florida health Jacksonville

机译:初级保健到专科保健转诊过程的建模和分析:以佛罗里达州健康大学杰克逊维尔分校为例

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A specialty referral is the interface between the referring provider (typically a primary care physician) and the specialist. This process is complex and is currently mired with inefficiencies from primary care providers, referral coordinators, and insurance companies. The objective of this study is to provide a quantitative framework that will enable clinics to improve upon the existing referral process as a whole. Our initial findings obtained through shadowing referral coordinators across a representative sample of clinics at the University of Florida Health Jacksonville led us to believe that developing an analytical model that identifies bottlenecks in the referral process, particularly when reworks at all stages are frequently observed, would be beneficial. The results of the analysis would stimulate clinics to increase the capabilities of their patient records system, reduce reworks - leading ultimately to reduced referral delay and improved patient satisfaction.
机译:专科转诊是转诊提供者(通常是初级保健医师)与专科医生之间的接口。该过程很复杂,目前陷入基层医疗服务提供者,转诊协调员和保险公司效率低下的困境。这项研究的目的是提供一个量化的框架,使诊所能够改善现有的整个转诊流程。我们通过对佛罗里达大学杰克逊维尔分校的代表性诊所样本中的转诊协调员进行遮蔽而获得的最初发现使我们相信,开发一种分析模型可以识别出转诊过程中的瓶颈,特别是当经常观察到各个阶段的返工时。有利。分析结果将刺激诊所提高患者记录系统的功能,减少返工,最终减少转诊延误并提高患者满意度。

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