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Titolo:
Predictors of patient referrals by primary care residents to specialty care clinics
Autore:
Bertakis, KD; Callahan, EJ; Azari, R; Robbins, JA;
Indirizzi:
Univ Calif Davis, Dept Family & Community Med, Sacramento, CA 95817 USA Univ Calif Davis Sacramento CA USA 95817 ty Med, Sacramento, CA 95817 USA Univ Calif Davis, Div Stat, Sacramento, CA 95817 USA Univ Calif Davis Sacramento CA USA 95817 v Stat, Sacramento, CA 95817 USA Univ Calif Davis, Dept Internal Med, Sacramento, CA 95817 USA Univ Calif Davis Sacramento CA USA 95817 al Med, Sacramento, CA 95817 USA
Titolo Testata:
FAMILY MEDICINE
fascicolo: 3, volume: 33, anno: 2001,
pagine: 203 - 209
SICI:
0742-3225(200103)33:3<203:POPRBP>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
PHYSICIAN PRACTICE STYLE; FAMILY-PRACTICE; GENERAL INTERNISTS; MEDICAL CHARGES; HEALTH SURVEY; CONSULTATION; PATTERNS; IMPACT; DECISIONS; VALIDITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Bertakis, KD Univ Calif Davis, Dept Family & Community Med, 4860 Y St,Suite 2300, Sacramento, CA 95817 USA Univ Calif Davis 4860 Y St,Suite 2300 Sacramento CA USA 95817
Citazione:
K.D. Bertakis et al., "Predictors of patient referrals by primary care residents to specialty care clinics", FAM MED, 33(3), 2001, pp. 203-209

Abstract

Background and Objectives: Physician referral patterns significantly impact costs, quality of care, and access to the health system. This paper examines factors predictive of patient referrals to specialists by primary care residents. Methods: New adult patients (n=509) were randomly assigned to primary care residents at a university medical center. Patient referrals to specialists were monitored for I year of care. Self-reported patient health status, sociodemographic information, number of primary care visits, and physician practice style behaviors were incorporated into statistical analyses predicting specially referrals. Results: Patients who were referred to specialty care were significantly older, had poorer physical health, and saw their primary care physicians more often than patients who were not referred. Patients were most frequently referred to surgical specialty clinics. After controlling for physical health status, gender and age, more frequent visits to a primary care resident physician who had a technically oriented style of care was associated with a greater total number of specialty clinicreferrals. Conclusions: Patient variables, as well as physician practice style, have an important impact on the specialty referral process. Although the appropriateness of referrals was not evaluated, these findings have implications for health care delivery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 12:52:27