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Do referral-management schemes reduce hospital outpatient attendances?-Time-series evaluation of primary care referral management

机译:转诊管理方案是否会减少医院的门诊人数?-初级保健转诊管理的时间序列评估

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摘要

Referral management is widespread in the English NHS. Ninety-one per cent of primary care trusts were using some form of referral management in 2009, typically in response to problems of rising outpatient attendances and the associated cost, growth of specialty waiting lists, inappropriate referral, and variation in clinicians' referral rates and quality. Referral management usually aims to reduce the number of referrals by influencing GPs' decision to refer, or to influence the referral destination, or to improve referral quality and appropriateness. Approaches range from referral-management centres (RMCs) that receive and review referral quality and appropriateness, to passive methods such as decision-support tools that aim to alter referral behaviour.
机译:推荐管理在英语NHS中很普遍。 2009年,有91%的初级保健信托基金采用某种形式的转诊管理,通常是为了应对门诊人数和相关费用增加,专科候诊名单增加,转诊不当以及临床医生转诊率和质量。推荐管理通常旨在通过影响GP决定推荐或影响推荐目的地或提高推荐质量和适当性来减少推荐数量。方法的范围很广,从接收和审查推荐质量和适当性的推荐管理中心(RMC)到旨在改变推荐行为的被动方法,例如决策支持工具。

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