Academic literature on the topic 'E-Referrals'
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Journal articles on the topic "E-Referrals"
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Shephard, Emma, Claire Stockdale, Felix May, Alistair Brown, Hannah Lewis, Sara Jabri, Daniel Robertson, Victoria Moss, and Rob Bethune. "E-referrals: improving the routine interspecialty inpatient referral system." BMJ Open Quality 7, no. 3 (September 28, 2018): e000249. http://dx.doi.org/10.1136/bmjoq-2017-000249.
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Interspecialty referrals are an essential part of most inpatient stays. With over 130 referrals occurring per week at the Royal Devon and Exeter Hospital, the process must be efficient and safe. The current paper-based ’white card' system was felt to be inefficient, and a Trust incident highlighted patient safety concerns. Questionnaires reinforced the need for improvement, with concerns such as a lack of referral traceability and delays in the referral delivery due to workload. The aims of the project were to improve patient safety and junior doctor efficiency in the referral process. Through appreciative enquiry and the PDSA (Plan-Do-Study-Act) model, an electronic referral system was developed, piloted within two specialties and later expanded to others with improvements made along the way based on user feedback. The system includes novel features including specialties ’acknowledging' a referral to allow referral progress to be tracked. The system stores all referrals, creating a fully auditable inpatient referral pathway. Qualitative data indicated improvement to patient safety and user experience (n=31). Timings for referrals were measured over a 6-month period; referrals became faster with the electronic system, with average time from decision to refer to referral submission improving from 2.1 hours to 1.9 hours, with a noted statistically significant improvement in timings on a statistical process control chart. An unexpected benefit was that patients were also reviewed faster by specialties. Measuring these changes presented a significant challenge due to the complexity of the referral process, and this was a big limitation. Overall, the re-design of a paper-based referral system into an electronic system has been proven to be more efficient and felt to be safer for patients. This is a sustainable change which is being rolled out Trust-wide. We hope that the reporting of this project will help others considering reviewing their inpatient referral pathways.
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Gorman, Mark, Chris Lochrin, Muhammad Adil Abbas Khan, and Fulvio Urso-Baiarda. "Waiting times and decision-making behind acute plastic surgery referrals in the UK." Journal of Hospital Administration 2, no. 1 (December 4, 2012): 68. http://dx.doi.org/10.5430/jha.v2n1p68.
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Over the past decade, Accident and Emergency (A&E) departments in the United Kingdom have struggled to cope with a doubling in patient attendances and the combined impacts of the ‘four-hour rule’, the European Working Time Directive and Modernising Medical Careers. Our previous prospective study suggested that A&E referrals to Plastic Surgery may not always be clinically motivated, but could have been affected by lack of blinding to the Plastic Surgery department participating in the study. The current study aims to corroborate those findings retrospectively, thereby overcoming this bias, and to conduct a detailed analysis of the reasons for observed referral behaviours. Medical notes of one hundred consecutive A&E referrals to a single Plastic Surgery Unit were retrospectively reviewed, documenting patient demographics, referral reason, time taken for referral and review, patient transfer time and referral appropriateness, defined by the need for hospital admission, surgery or senior review. ‘Appropriate’ and ‘inappropriate’ referrals were compared statistically for Referral Time, Transfer Time and Review Time using the independent samples t-test. To explore the reasons for observed referral patterns, six semi-structured interviews were carried out with all grades of A&E staff members using the previously-documented ‘framework analysis method’ of deductive analysis to investigate emerging and assumed themes systematically. 73 referrals from A&E to Plastic Surgery were included in the study, most commonly for adult males with upper limb injuries. The most frequent treatment outcomes were conservative management or wound exploration with no identifiable deep injury. Mean Referral Time and Review Time was 1:53 hours and 0:58 hours respectively. 69% of referrals were considered Appropriate according to the study definition. As in the previous study, inappropriate referrals were referred significantly more quickly than appropriate ones, whereas review time was similar irrespective of referral appropriateness. Interview themes analaysis revealed junior doctor inexperience, resource constraints and unintended consequences of targets and protocols to be major non-clinical determinants of whether a referral was made. This study confirms that priorities other than clinical need may influence A&E referral behavior and provides valuable insights into the challenges and drivers determining it. A significant proportion of referrals from A&E to Plastic Surgery are inappropriate and quicker referrals are more likely to be inappropriate. Many junior doctors currently lack the confidence and competence to manage routine cases that fall under the remit of Plastic Surgery. Significant change is needed to address the current situation. The insights of this study may help to inform such change.
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Ray, Midge N., Ellen Funkhouser, Jessica H. Williams, Rajani S. Sadasivam, Gregg H. Gilbert, Heather L. Coley, D. Brad Rindal, and Thomas K. Houston. "Smoking-Cessation e-Referrals." American Journal of Preventive Medicine 46, no. 2 (February 2014): 158–65. http://dx.doi.org/10.1016/j.amepre.2013.10.018.
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Al Shamsi, Hilal Salim, Abdullah Ghthaith Almutairi, and Sulaiman Salim Al Mashrafi. "Assessing the Quality of the Saudi Healthcare Referral System: Potential Improvements Implemented by Other Systems." Global Journal of Health Science 10, no. 11 (October 13, 2018): 113. http://dx.doi.org/10.5539/gjhs.v10n11p113.
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INTRODUCTION: The referral system authorizes and transfers the responsibility for healthcare services from one provider to another. A key component of the system is the communication between primary-care and specialist providers. Poor communication between them is detrimental to and can cause significant issues with coordination of effective care.
OBJECTIVE: The purpose of this review was to evaluate current healthcare referral systems, focusing on the communication among providers, and to suggest practices that could make the Saudi healthcare referral system more effective.
DESIGN: This systematic review identified published studies of the quality of the healthcare referral system in Saudi Arabia and other countries using two databases, Medline and PubMed. Data were summarized and extracted into two tables.
RESULTS: The review included 12 studies that met its selection criteria. These studies were conducted in various regions of Saudi Arabia, but mostly the west and north. The 12 studies included 181,192 participants, with numbers of participants ranging from 21 to 138,484. The present review found that more than 50% of the referral documents and feedback reports in these studies had incomplete patient information. Implementation of electronic referrals (e-referrals) in several countries, including Australia, New Zealand and the United States, improved their referral systems, particularly by solving the problem of incomplete referral documents. In addition, the present review found that in some specialist clinics, referral cases contributed to increased workloads. One study reported on implementation of Lean Six Sigma principles in a military hospital in western Saudi Arabia, which reduced the number of referrals delayed, inappropriate referrals and the response time to referrals (7%). E-referrals and Lean Six Sigma principles may be applicable in Saudi Arabia as solutions to referral and response-time problems.
CONCLUSIONS: An increase in healthcare referrals in Saudi Arabia has caused an increase in missing essential information in referral letters and feedback reports as well as overcrowding in specialist clinics. The results of the present review suggested that implementing e-referral and Lean Six Sigma principles may improve the quality of Saudi Arabia’s healthcare referral system.
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Strouther, Nick, and Divya Jain. "Appropriateness of referrals to Whiston hospital Mental Health Liaison Services." BJPsych Open 7, S1 (June 2021): S352. http://dx.doi.org/10.1192/bjo.2021.931.
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Aims1. The aim of this study was to assess the appropriateness of referrals to Whiston Mental Health Liaison Services (WMHLS) according to Royal College of Psychiatrists and local trust guidelines.2. To assess whether the referrals were being reviewed in timely manner as per the trust's guidelines.MethodData collection was completed using a proforma to ensure uniform data collection. The proforma included information on patient demographics, previous mental health service involvement, other details like reasons and time of referral and their outcomes. Data sample comprised of 46 patients who had been referred to the WMHLS in the month of August 2019 were randomly selected.Result44 of the 46 referrals analyzed were found to be appropriate. 40 patients were deemed to have appropriate documentation. The ratio of males to females was 20:26. 21 referrals were from the observation ward, 14 from A&E, and 11 from medical wards. 40 patients were previously known to mental health services. The reasons for referral ranged from suicidal ideation/attempt (48%), Drug related (12%), Assessment (7%) and more. There were various outcomes recorded. One of them was that 18 (28%) referrals were assessed for Depression and for other mental health problems.78.6% of patients referred from A&E, and 95.2% of patients in the observation ward, were not seen in the 1 hour window set out by the Trust's guidelines. 91.1% of patients referred from the wards were seen within the 24 hour target.ConclusionThe vast majority of referrals were found to be appropriate (44/46). It was found that the referral form used across the Trust, contained different levels of details and information on the patient depending on the source of referral. Using a standard process to complete referral forms to be used across the whole trust may ensure that all patients receive a standardized and appropriate referral based on the guidelines. Making the form electronic may reduce problems deciphering handwriting, and could allow WMHLS have a better understanding of the patient, and allow them to identify a patient that may be more appropriate for another service, e.g. drugs and alcohol team. This may and make the overall referral process quicker and reduce waiting times in A&E, as well as faster referrals to the appropriate services.
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Wootton, R., K. Harno, and J. Reponen. "Organizational aspects of e-referrals." Journal of Telemedicine and Telecare 9, no. 2_suppl (December 2003): 76–79. http://dx.doi.org/10.1258/135763303322596354.
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Crawford, Michael J., and Dora Kohen. "Urgent psychiatric assessment in an inner-city A&E department." Psychiatric Bulletin 21, no. 10 (October 1997): 625–26. http://dx.doi.org/10.1192/pb.21.10.625.
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Data on day time referrals to a liaison psychiatry team from an inner London accident and emergency department (A&E) were analysed over a two-year period. Despite the availability of local community-based alternatives for urgent assessment almost 5000 patients were seen. A quarter were self-referrals and two-thirds had had no previous contact with psychiatric services. The most common reason for referral was aggressive or disruptive behaviour. Characteristics of patients in this inner-city population suggest a continuing need for a high quality liaison service to the A&E department.
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Khanna, Niharika, Elena Klyushnenkova, Vibha Rao, Neil Siegel, and Sara Wolfe. "Electronic referrals to the tobacco Quitline: implementation strategies in a large health system to optimize delivery of tobacco cessation to patients." Translational Behavioral Medicine 11, no. 5 (January 7, 2021): 1107–14. http://dx.doi.org/10.1093/tbm/ibaa094.
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Abstract Electronic referrals provide an efficient solution for clinicians to connect patients to free tobacco cessation services, such as the tobacco Quitline. However, strategic planning is necessary for the successful adoption of this method across the health care system. The purpose of this study was to develop an implementation strategy for electronic referrals to the tobacco Quitline in a large health system. A clinical decision support tool created a closed-loop e-referral pathway between the electronic health record system and the Quitline. Multilevel strategies were developed to implement the e-referral process across the entire health system, including leadership buy-in, Epic tip sheets, newsletters, training for practice champions and staff, physician educator, patient-focused advertisements, and video clips distribution by the Maryland Department of Health Center for Tobacco Prevention and Control. The implementation of a system-wide e-referral pathway for tobacco cessation involved continuous clinician education and training, systematic quality control, and engaging “champion” clinicians. Postimplementation data analysis revealed that 1,790 e-referrals were received by the Quitline in 2018–2019, of which 18% accepted follow-up services, 18% declined, and 64% were not reached after multiple attempts. Among 322 patients who accepted Quitline services, 55% requested nicotine replacement therapy. Overall, 282 clinicians referred patients, including 107 primary care physicians and 175 specialists; 62 clinicians e-referred 72% patients, thereby emerging as “tobacco champions.” The e-referral process is an efficient method for tobacco users to receive a cessation referral from clinicians. Sustainability can be achieved through leadership buy-in, physician ease of use, patient motivation, information technology supports, and reminders.
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Duffield, J. S., K. Craig, and W. D. Plant. "Patterns in Acute Referral to Hospital." Scottish Medical Journal 42, no. 4 (August 1997): 105–7. http://dx.doi.org/10.1177/003693309704200402.
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This retrospective observational study aimed to assess factors affecting acute referral and subsequent admission to hospital by general practitioners. Data concerning 2,303 consecutive acute referrals to hospital from all GPs in a defined study area were collected over one month. Fund holding practices cared for 13% of the population referred 13% ofall referrals resulting in 14% ofadmissions. Referral through the A&E resulted in significantly more patients being discharged upon initial assessment (p<0.001). A telephone call accompanying referral dramatically increased the chance ofhospital admission (p<0.001). Referral to hospital was more likely the more socially deprived the patient (p<0.001) but had no subsequent bearing on admission.
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Scott, Karla. "The Swansea electronic referrals project." Journal of Telemedicine and Telecare 15, no. 3 (April 2009): 156–58. http://dx.doi.org/10.1258/jtt.2009.003016.
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A system was developed to allow general practitioners in Swansea to send urgent cancer referrals electronically to consultants at the South West Wales Cancer Centre. Five practices from the Swansea area took part in a pilot trial. Information was extracted from the system to evaluate the e-referral activity of the first six months, during which a total of 99 referrals were submitted electronically; most (81%) were processed within one hour. Evaluation interviews were conducted with staff at the general practices, who were asked to rate the system on a 10-point Likert scale (1 = completely dissatisfied to 10 = completely satisfied); the lowest satisfaction rating given by the practices was 8. The staff agreed that the use of a standard form was beneficial and improved the quality of the referral information submitted to consultants.
Dissertations / Theses on the topic "E-Referrals"
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Gomes, Daniela Cabral. "Word of mouth, referral marketing e a lealdade dos clientes no contexto B2B." Master's thesis, Instituto Superior de Economia e Gestão, 2017. http://hdl.handle.net/10400.5/14886.
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Mestrado em Ciências EmpresariaisNum contexto empresarial cada mais competitivo torna-se cada vez mais importante que uma empresa se consiga destacar e a retenção de clientes torna-se fundamental. Os métodos tradicionais já não têm o mesmo efeito e o Word of Mouth surge como um dos métodos mais bem-sucedido na aquisição de clientes, principalmente em contexto B2B onde as decisões tomadas têm um maior impacto. É nesse contexto que se insere o presente estudo onde se questiona a possibilidade de poder associar positivamente os clientes adquiridos via programas de referrals ao seu estado de lealdade/ retenção a uma empresa em contexto B2B, através da análise do Caso da Empresa W. Apesar de o Programa não estar tão estruturado, como sugerem os autores, os resultados mostraram uma correlação positiva entre os Programas de Referrals, com o uso gerido do Word of Mouth., e a retenção/Lealdade dos clientes.
In an increasingly competitive business environment, it becomes increasingly important for a company to excel and customer retention becomes critical. Traditional methods no longer have the same effect and Word of Mouth emerges as one of the most successful methods of customer acquisition, especially in the B2B context where the decisions made have a greater impact. It is in this context that the present study is inserted where one questions the possibility of being able to positively associate the customers acquired through referral programs to their loyalty / retention status to a company, in a B2B context, through the analysis of the Case of Company W. Although the Program is not as structured as the authors suggest, the results showed a positive correlation between the Referral Programs, the managed use of Word of Mouth, and customer retention / loyalty.
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Mo, Wentao. "A Referral-Based Recommender System for E-commerce." NCSU, 2001. http://www.lib.ncsu.edu/theses/available/etd-20010621-231234.
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WENTAO MO. A Referral-Based Recommender System for E-Commerce (Under the direction of Dr. Munindar P. Singh).The thesis is intended to develop the technology and infrastructure to allow people to share knowledge with and learn from each other. A special kind of multiagent system, called multiagent referral system (MARS), is proposed. In MARS, each user is assigned a software agent, and software agents help automate the process of expertise location by a series of ?referral chains.? Unlike most previous approaches, our architecture is totally distributed and preserves the privacy and autonomy of their users. These agents learn models of each other in terms of expertise (ability to produce correct domain answers), and sociability (ability to produce accurate referrals).
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Silva, Silvia Helena Ferr?o. "Professoras do 3? ano do Ensino Fundamental frente ?s dificuldades de aprendizagem em Matem?tica e ?s decis?es de encaminhamento para apoio psicol?gico e ou refor?o escolar." Pontif?cia Universidade Cat?lica de Campinas, 2014. http://tede.bibliotecadigital.puc-campinas.edu.br:8080/jspui/handle/tede/726.
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Previous issue date: 2014-02-03This paper presents a study on the actions taken by teachers of the 3rd year of Elementary School, related to the decisions and referrals regarding the students indicated as having learning gap in Mathematics. Our question at issue is: How and why do referrals of students in the 3rd year of Elementary School with Mathematics difficulties occur in the teachers view? The main goal was to analyze, based on pieces of information from teachers of the 3rd year of Elementary School regular and special education classes the conceptions related to the Mathematics concepts learning difficulties found by students and the need for psychological referral or pedagogical remedial help. The research development brought indications with reference to the issue of children learning difficulties in Mathematics, their emotions during the learning process and the aspects regarding Mathematics teaching and learning in school. The data arose from semi-structured interviews with three teachers of the 3rd year two from the classrooms and the resource room teacher in two different moments: in the beginning of 2013 school year and in November of the same year; and also the documentation for the student referral to remedial classes and psychological support. During the interviews the participants pointed out that the initial training course didn`t offer them enough theoretical subsidies to perform in the teaching discipline of Mathematics to the initial years of Elementary School. It was also pointed that a lot of the learning difficulties of these students is generally related to Mathematics concepts that weren`t understood by them. Teachers considerations about the referrals of students with learning difficulties were analyzed, as well as their conceptions about how and why these referrals should happen. In addition, the documentation of a 3rd year student who attended the resource class and the psychological assistance for two years was analyzed. It has been concluded that the services of resource class and psychological assistance, both offered by the city council, do not become linked, then bringing little contribution to students progress. The considerations to evaluate the student`s development are evasive, advancing little to identify their difficulties and to show alternatives to those people who will keep working with children, what provides little contribution to cognitive and psychological development.
O trabalho apresenta um estudo sobre as a??es de professoras do 3? ano do Ensino Fundamental, relacionadas ?s decis?es e encaminhamentos referentes aos alunos indicados como portadores de defasagem de aprendizagem em Matem?tica. Nossa quest?o problema assim se configura: Como e por que ocorrem os encaminhamentos de alunos com dificuldades relacionadas ? Matem?tica em sala de 3? ano do Ensino Fundamental de uma rede p?blica municipal na vis?o das professoras? Teve por objetivo analisar, a partir das informa??es de professoras do 3? ano do Ensino Fundamental da sala regular e de educa??o especial as concep??es relacionadas ?s dificuldades encontradas pelos alunos ao aprender conceitos matem?ticos e a necessidade de encaminhamento psicol?gico ou de refor?o pedag?gico. No desenvolvimento da pesquisa trouxemos apontamentos relativos ?s quest?es das dificuldades de aprendizagem das crian?as em Matem?tica, das suas emo??es no percurso da aprendizagem e de aspectos relacionados ao ensino e ? aprendizagem de Matem?tica na escola. Os dados originaram-se das entrevistas semiestruturadas realizadas com tr?s professoras de 3? ano duas de sala de aula e a professora da sala de recurso em dois momentos diferentes: no in?cio do ano letivo de 2013 e no m?s de novembro do mesmo ano. Ainda, de documenta??o relativa ao encaminhamento do aluno para sala de refor?o e de atendimento psicol?gico. Nas entrevistas as participantes indicaram que o curso de forma??o inicial n?o lhes ofereceu subs?dios te?ricos suficientes para a atua??o na doc?ncia na disciplina de Matem?tica para os anos iniciais do Ensino Fundamental. Tamb?m que muitas das dificuldades de aprendizagem destes alunos, de maneira geral est?o relacionadas com os conceitos matem?ticos n?o compreendidos por eles. Analisamos as considera??es das professoras referentes ao encaminhamento de alunos com defasagem de aprendizagem, suas concep??es sobre como e por que esses encaminhamentos devam se dar. Ainda, a documenta??o de um aluno de 3? ano, que freq?entou por dois anos a sala de recurso e o atendimento psicol?gico. Conclu?mos que os servi?os de sala de recurso e atendimento psicol?gico, ambos oferecidos pela prefeitura, n?o se articulam, trazendo pouca contribui??o para os avan?os dos alunos. As considera??es para avaliar o desenvolvimento do aluno se fazem evasivas, pouco avan?ando no sentido de identificar suas dificuldades e de apresentar alternativas para o trabalho daqueles que com a crian?a v?o continuar atuando, o que proporciona pouca contribui??o para os avan?os cognitivos e psicol?gicos.
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Chiarini, Alessandra <1976>. "Early Referral e prevenzione secondaria dell'insufficienza renale cronica benefici per il paziente e per la sostenibilità del sistema dialisi." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2011. http://amsdottorato.unibo.it/3560/1/chiarini_alessandra_tesi.pdf.
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Attività di ricerca nell'ambito dell'inidirizzo nefrologia clinica, valutando: la popolazione dei pazienti in trattamento sostitutivo in particolare incidenza e prevalenza dei pazienti in trattamento renale sostitutivo nell'Azienda USL di Cesena dal 2000 al 2009 confronto con i dati del registro italiano (analisi retrospettiva). Analisi di questa popolazione e in particolare referral nefrologico e applicazione di misure atte a ridurre la progressione dell'IRC (prevenzione secondaria, terziaria e riduzione dei costi). Confronto con i dati internazionali.
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Chiarini, Alessandra <1976>. "Early Referral e prevenzione secondaria dell'insufficienza renale cronica benefici per il paziente e per la sostenibilità del sistema dialisi." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2011. http://amsdottorato.unibo.it/3560/.
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Attività di ricerca nell'ambito dell'inidirizzo nefrologia clinica, valutando: la popolazione dei pazienti in trattamento sostitutivo in particolare incidenza e prevalenza dei pazienti in trattamento renale sostitutivo nell'Azienda USL di Cesena dal 2000 al 2009 confronto con i dati del registro italiano (analisi retrospettiva). Analisi di questa popolazione e in particolare referral nefrologico e applicazione di misure atte a ridurre la progressione dell'IRC (prevenzione secondaria, terziaria e riduzione dei costi). Confronto con i dati internazionali.
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John, Solomon. "The evaluation of 'Lower Gastrointestinal e-Referral Protocol' at the Primary care-Secondary care interface : a prospective study." Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/362762/.
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The rationale for this study was born out of the need to streamline referral mechanisms for suspected colorectal cancer referrals from primary care, and also to process patients with lower gastrointestinal symptoms and suspected iron deficiency anaemia adequately. There is limited guidance on how to decide which patients need investigations and no clear guidance in primary care on where patients with various colorectal symptoms should be seen in secondary care. We hypothesized that a validated electronic referral protocol (e -RP) addressing the full spectrum of lower gastrointestinal symptoms and suspected or proven iron deficiency anaemia would help General Practitioners in making correct referral decisions. This prospective, parallel, non-randomised trial looking at the benefits of a dedicated Lower Gastrointestinal e-Referral Protocol was carried out in one secondary care hospital and surrounding general practices in the Bournemouth and South & East Dorset Primary Care Trusts. My aim was to assess the yield of CRC, whilst filtering less serious pathology, from the TWW and urgent referral system. I measured the time periods from referral by GP through first appointment/investigation to definitive diagnosis in groups of patients who were referred using the e-RP or through traditional referral methods. The use of e-RP was associated with a statistically significant increase in yield of CRC, difference in time to definitive diagnosis for colorectal cancer and a sensitivity of 100%, compared with 75% for non-use of e-RP. There were several other changes which support the use of e-RP but which did not reach statistical significance, probably due to Type II error.
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Urbonavičiūtė, Eglė. "Ambulatorinių pacientų depresijos simptomų sąsaja su pirminės asmens sveikatos priežiūros įstaigos apkrova." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2009. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2009~D_20090629_143508-21934.
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Šiame darbe išanalizuota iki šiol Lietuvoje netyrinėta sąsaja tarp depresija sergančių pacientų ambulatorinių apsilankymų ir pirminės asmens sveikatos priežiūros įstaigos apkrovos. Šis tyrimas moksline ir praktine prasme yra vertingas tolesniems depresijos simptomų patiriančių asmenų pirminės sveikatos priežiūros organizavimo bei vystymo tyrinėjimams.
Darbo tikslas. Įvertinti depresijos simptomų sąsają su ambulatorinių pacientų apsilankymų kiekiu ir pirminės asmens sveikatos priežiūros įstaigos apkrova.
Darbo uždaviniai:
1. Nustatyti depresijos simptomus patiriančių pacientų ambulatorinių apsilankymų per pusmetį pas bendrosios praktikos (šeimos) gydytojus dažnį ir palyginti su depresijos simptomų nepatiriančių pacientų apsilankymų dažniu.
2. Nustatyti depresijos simptomus patiriantiems pacientams per pusmetį suteiktų gydytojų specialistų konsultacijų dažnį ir palyginti su depresijos simptomų nepatiriančių pacientų konsultacijų dažniu.
3. Nustatyti depresijos simptomus patiriantiems pacientams per pusmetį atliktų laboratorinių tyrimų kiekį bei struktūrą ir palyginti su pacientų, nepatiriančių depresijos simptomų, laboratorinių tyrimų dažniu.
Tyrimo metodika. Tyrimui atlikti naudoti penki tyrimo metodai: mokslinės literatūros analizė ir apibendrinimas, anketinė apklausa, testavimas HADS skale, laiko biudžeto analizė ir matematinė statistika. Pagal HADS-D rezultatus, visi tyrimo dalyviai buvo suskirstyti į dvi grupes: pirmą (HADS-D>=8) sudarė 24 tiriamieji, kuriems... [toliau žr. visą tekstą]In this study we investigated the association between the symptoms of depression of ambulatory patients and the rate of outpatient visits and workload of primary health care centre. This problem was investigated for the first time in Lithuania. The results of this study are of great scientific and practical value for further investigations, cocerning the organization and development of the primary health care for patients with symptoms of depression. Aim of the study. To identify the association between the symptoms of depression of ambulatory patients and the rate of outpatient visits and the workload of the primary health care centre. Objectives: 1. To evaluate the rate of outpatient visits that patients with symptoms of depression make to the general practioner during the past six months and to compare with the patients having no symptoms of depression. 2. To evaluate the rate of consultations of specialists for patients with symptoms of depression during the past six months and to compare it with the patients having no symptoms of depression. 3. To evaluate the amount and structure of laboratory tests done for the patients with symptoms of depression during the past six months and to compare it with the patients having no symptoms of depression. Methods. Data was collected using questionnaire, Hospital Anxiety and Depression Scale (HADS), time budget analysis. According to the scores of HADS, 24 participants were assigned to the group of great or undeterminated risk... [to full text]
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Neira, Ricardo Alfredo Quintano [UNIFESP]. "Construção e avaliação de sistema de segunda opinião médica em radiologia." Universidade Federal de São Paulo (UNIFESP), 2009. http://repositorio.unifesp.br/handle/11600/9253.
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Previous issue date: 2009-06-24INTRODUÇÃO. A segunda opinião médica pode ser definida como a busca de conselhos ou informações médicas entre profissionais de saúde. OBJETIVO. Este trabalho tem o objetivo de apresentar os passos da construção de um sistema de segunda opinião médica, bem como os resultados da avaliação do sistema desenvolvido. MÉTODOS. No trabalho realizou-se um estudo observacional com enfoque etnográfico de investigação empírica. Um sistema web que reproduz o processo de segunda opinião médica definido foi construído a partir de tecnologias de software livre. Para a avaliação, o sistema foi utilizado por 49 médicos residentes da Universidade Federal de São Paulo que emitiram a sua opinião para 52 solicitações de segunda opinião médica. Como instrumentos de avaliação foram utilizados questionários a respeito do conhecimento prévio, da solicitação, de opinião e de satisfação. RESULTADOS. Foram emitidas 1.891 respostas de segunda opinião pelos médicos para as 52 solicitações. Na avaliação da satisfação subjetiva do usuário, o sistema apresentou média de 87,8% no quesito facilidade de utilização e 95,6% no quesito aprendizado para a utilização do sistema. Os médicos indicaram a necessidade de incluir recursos para auxiliar a observação de imagens como, por exemplo, ampliação (zoom), brilho e contraste, em 38,2% das respostas. Apontaram também, em 47,3% das respostas, que os dados clínicos constituem a informação de maior importância para a emissão da segunda opinião. Respostas às solicitações de segunda opinião apresentaram linguagem inadequada que poderia prejudicar a colaboração entre os médicos. CONCLUSÃO. Os resultados da construção e da avaliação deixam em evidência a efetividade do processo definido para a obtenção de segunda opinião médica em radiologia à distância. Palavras-chave: Telemedicina, Consulta Remota, Referência e Consulta, Radiologia, Diagnóstico por Imagem.
INTRODUCTION. The second opinion can be defined as the search of advices or medical information between health professionals. OBJECTIVE. The objective of this work is to present the steps of the construction of a second opinion system, as well as the evaluation results of the developed system. METHODS. In this work an observational study with an empirical ethnographic research focus was implemented. A web system was developed based on open-source technologies. For the evaluation, the system was used by 49 residents from the Federal University of São Paulo that informed their opinion to 52 medical second opinion requests. Questionnaires of previous knowledge, request, opinion and satisfaction where employed as evaluation tools. RESULTS. 1.891 second opinion responses were given by the physicians to the 52 requests. Regarding to the user satisfaction evaluation, the system presents a 87,8% mean in the easy utilization item and a 95,6% mean in learning to operate the system. The physicians showed the necessity to add resources to help observing images, as example, magnifying, brightness and contrast, on 38,2% of the responses. 47,3% responses indicated also that clinical information is the most important information for a second opinion emission. Inappropriate language was found on responses for medical second opinion requests which could difficult physicians’ cooperation. CONCLUSION. The results of the development and evaluation of the second opinion system show that the defined process was effective for the achievement of remote radiology second opinion.
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BV UNIFESP: Teses e dissertações
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Cardoso, Graça Maria Pereira. "Avaliação da efectividade de uma intervenção em psiquiatria de ligação na doença coronária aguda." Doctoral thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2005. http://hdl.handle.net/10362/5508.
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RESUMO: Várias intervenções psiquiátricas e psicossociais têm demonstrado ser eficazes
na redução da depressão e da ansiedade em indivíduos que sofreram um acidente
coronário agudo. A possiblidade de modificarem a evolução da doença coronária
e de reduzirem a mortalidade cardíaca continua, no entanto, por comprovar. Este
estudo teve como principal objectivo avaliar a efectividade de uma intervenção de
Psiquiatria de Ligação (PL) em doentes com cardiopatia isquémica aguda.
Métodos: um grupo inicial de 129 doentes consecutivos, internados por Enfarte Agudo do Miocárdio (EAM) ou Angina Instável, numa unidade de cuidados intensivos foi avaliado com a Hospital Anxiety e Depression Scale (HADS).
Os doentes que apresentaram uma pontuação ≥8 nas subescalas da Depressão ou da Ansiedade (n=72) foram aleatoriamente distribuídos por grupo de intervenção (GI) (n=37) e grupo de controlo (GC) (n=35). O GI foi sujeito a uma intervenção de PL, realizada durante o período hospitalar, que se iniciou nos primeiros dias de internamento e consistiu em pelo menos 3 sessões individuais (incluindo avaliação psiquiátrica, psicoterapia de suporte, intervenção psicoeducativa e medicação, quando necessário). A sessão pré-alta envolveu o cônjuge e abordou a modificação de comportamentos de risco, a adesão terapêutica e o regresso ao trabalho. O GC
recebeu os cuidados habituais da unidade de internamento. Todos os doentes completaram
uma entrevista inicial para avaliação do estado cognitivo (Mini Mental State Examination – MMSE), do ajustamento social (Social Problems Questionnaire – SPQ) e de aspectos sociodemográfi cos e clínicos. Os doentes foram reavaliados antes da alta, aos 45 dias, 3 e 6 meses com a HADS, o SPQ e ainda com o Nottingham Health Profi le (NHP) para avaliação da qualidade de vida. No
follow-up de 6 meses foi colhida informação sobre sobrevivência, número e duração
de reinternamentos, número de dias de baixa e regresso ao trabalho.
Resultados: na amostra de 129 doentes avaliados no início do internamento,
20,9% apresentavam níveis de depressão ≥8 na subescala da Depressão (HADS), 53,5% níveis de ansiedade ≥8 na subescala da Ansiedade (HADS) e 9,3% perturbações cognitivas (MMSE). A avaliação longitudinal desta amostra mostrou que os níveis de depressão, inicialmente baixos, aumentaram nos 45 dias após o internamento, para depois diminuírem até ao fi nal do follow-up. Os níveis de
ansiedade, que eram inicialmente altos, aumentaram nos 45 dias seguintes e antiveram-
se estáveis, mas altos, até ao fi m do estudo.
O GI apresentou uma pontuação média na subescala da depressão signifi cativamente
inferior à do GC no follow-up de 6 meses (5,8±4,1 no GI vs. 7,9±4,3 no GC, p=0,04). O número de doentes deprimidos foi signifi cativamente menor no GI nas avaliações realizadas aos 3 meses (11 vs. 18 no GC, p=0,04) e aos 6 meses (12 vs. 18 no GC, p= 0,05). O mesmo aconteceu com o número de doentes ansiosos aos 3 meses (15 no GI vs. 23 no GC, p=0,01). As dimensões do NHP “Isolamento social” aos 45 dias e “Reacção emocional” aos 45 dias e aos 3 meses, bem como a qualidade de vida geral (NHP 2ª parte) aos 3 meses, mostraram melhoria signifi cativa no grupo de intervenção. Embora a intervenção tenha reduzido o nível médio da ansiedade nas várias avaliações após a alta, esta redução não atingiu signifi cância estatística. A intervenção realizada não teve impacto na mortalidade ou nas variáveis relacionadas com a evolução da doença cardíaca no período do follow-up.
Conclusões: Os resultados do presente estudo mostram a alta prevalência de depressão e de ansiedade após um acidente coronário agudo e a manutenção de níveis altos de ansiedade nos 6 meses seguintes. Os resultados comprovam também a efectividade de uma intervenção em PL no tratamento da depressão e da ansiedade em doentes que sofreram um acidente coronário agudo. Estes resultados
apontam para a necessidade de desenvolvimento de programas de PL para este
tipo de doentes, tanto no hospital geral como nos cuidados de saúde primários.
Sugerem ainda a necessidade de desenvolvimento de investigação que permita
estabelecer o impacto específi co dos diversos tipos de intervenção, assim como
compreender os mecanismos subjacentes à associação da depressão e da ansiedade
com a doença coronária.----------ABSTRACT:Different types of psychiatric and psychochosocial interventions have proven effi cacy in
decreasing anxiety and depression in coronary heart disease. There is, however, an ongoing discussion about the impact these interventions may have on the clinical outcome and on cardiac mortality. The main objective of the current study was to evaluate the effectiveness of a consultation liaison psychiatry (CL) intervention on a group of patients admitted with Myocardial Infarction or Unstable Angina, to a Coronary Care Unit. Methods: The study had a prospective, randomised, controlled design, with a 6-month follow-up. One hundred and twenty-nine consecutive patients were assessed during the first 48 hours of admission with the Hospital Anxiety and Depression Scale (HADS). Those with a score of ≥8 on the Depression or the Anxiety subscales (n=72) were randomly allocated
to intervention (n=37) and usual care (n=35). The CL intervention, started during
the fi rst days of admission, had a minimum of 3 (60 minutes) sessions, and included
a psychiatric evaluation, supportive psychotherapy, a psychoeducational intervention, when necessary, psychotropic drugs. The last session, shortly before discharge, included the spouse and was focused on compliance, modifi cation of behavioral risk factors, and possible diffi culties upon returning to work. Cognitive status (Mini-Mental State Examination - MMSE), social adjustment (Social Problems Questionnaire - SPQ), and demographic and clinical characteristics were also assessed at baseline. Patients were reassessed before discharge, and at 45 days, 3 and 6 months after admission with HADS, SPQ, and with Nottingham Health Profile (NHP) for quality of life. Survival, number of readmissions and days of readmission, number of sickleave days and return to work were assessed at six months. Results: The initial sample of 129 patients, presented a 20.9% prevalence of depressive symptoms, 53.5% of anxiety symptoms, and 9.3% of cognitive disorders. The longitudinal evaluation of this sample showed that the initially low levels of depression were increased 45 days later, and slowlly decreased afterwards till the 6-month follow-up. Initially high anxiety
levels, somewhat decreased before discharge, had increased 45 days later, and stayed stable and high till the end of the study.
The intervention group showed a signifi cantly lower depression mean score at 6 months (5.8±4.1 vs. 7.9±4.3 in the controls, p=0.04). The number of patients considered depressed was lower in the intervention group at 3(11 vs. 18 controls, p=0.04) and 6 months (12vs. 18 controls, p=0,05). The number of anxious patients was also lower in the intervention.
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Marques, André Coelho. "Impacto da interconsulta cardiológica na evolução clínica de pacientes hospitalizados." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5131/tde-24052012-164128/.
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A interconsulta cardiológica corresponde a uma parcela considerável das atividades assistenciais e de ensino do cardiologista, refletindo gasto extra de tempo e recursos. Apesar disso, essa atividade não tem recebido a devida atenção da literatura, com poucos estudos sobre o tema. O objetivo do presente estudo foi, primariamente, comparar a evolução clínica dos pacientes envolvidos na interconsulta cardiológica que tiveram as recomendações seguidas pela equipe médica solicitante (grupo ACEITADOR) com aqueles em que as recomendações não foram seguidas (grupo NÃO ACEITADOR). De forma secundária, procuramos identificar as variáveis determinantes da aceitação das sugestões da equipe cardiológica. Para isso, foi realizado um estudo observacional envolvendo pacientes internados no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, para os quais foram solicitadas interconsultas cardiológicas, no período de março a setembro de 2008. Os dados referentes às interconsultas foram coletados pelo investigador de maneira prospectiva a partir do prontuário dos pacientes. Dentre as 589 interconsultas selecionadas para o estudo, 271 consistiam em avaliações clínicas e 318 avaliações pré-operatórias. Em relação à taxa de aceitação das recomendações cardiológicas, 77% dos pacientes foram classificados no grupo ACEITADOR e 23% classificados no grupo NÃO ACEITADOR. A análise da evolução clínica demonstrou que, dentre os pacientes do grupo NÃO ACEITADOR, 38,8% evoluíram de forma desfavorável (piora clínica ou óbito) contra 5,4% dos pacientes do grupo ACEITADOR (P<0,0001). Após análise de regressão logística, pertencer ao grupo NÃO ACEITADOR (P<0,001; OR 10,25; IC 95% 4,45 - 23,62) e a idade dos pacientes (P=0,017; OR 1,04; IC 95% 1,01 1,07) estiveram associados de forma independente a uma evolução clínica desfavorável. Foram identificados quatro preditores independentes de aceitação das recomendações: a realização de visitas de seguimento (P<0,001; OR 2,43; IC 95% 1,48 4,01), reforço verbal das recomendações (P=0,001; OR 1,86; IC 95% 1,23 2,81), número de recomendações sugeridas (P=0,001; OR 0,87; IC 95% 0,80 0,94) e idade dos pacientes (P=0,002; OR 0,98; IC 95% 0,96 0,99). Portanto, na presente análise, a não aceitação das recomendações da equipe cardiológica por parte da equipe médica solicitante esteve associada a uma evolução clínica desfavorável dos pacientes envolvidos. A realização de visitas de seguimento, reforço verbal, número limitado de recomendações e a menor idade dos pacientes estiveram associados a uma maior aceitação das recomendações da equipe cardiológicaCardiology referral represents an important part of cardiologist activities, accounting for substantial workload and demanding extra time and resources. Despite the importance of these facts, it has received little attention in the medical literature in the last years. The purpose of this study was to compare the clinical outcome of patients involved in cardiology referral who had the cardiologic recommendations followed by the requesting service (ACCEPTING group) with those whose recommendations were not followed (NON-ACCEPTING group). Secondly, we aimed to determine which of the variables involved in cardiology referral were related to acceptance to consultants recommendations. An observational study was performed at Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, involving cardiology consultations during the months of March 2008 through September 2008. Data regarding consultations were prospectively extracted from the medical records by a physician-researcher. Among the 589 cardiology consultations selected for the study, 271 were clinical evaluations and 318 were preoperative evaluations. Regarding compliance of the referring service in following the recommendations offered by cardiology team, 77% of patients were classified in the ACCEPTING group and 23% in the NON-ACCEPTING group. A clinical outcome analysis was performed and showed that 38,8% of patients allocated to NON-ACCEPTING group had evolved unfavorably (clinical deterioration or death) against 5,4% of patients allocated to accepting group (P<0.0001). After logistic regression analysis, belong to NON-ACCEPTING group (P<0.001; OR 10.25; CI 95% 4.45 23.62) and patients age (P=0.017; OR 1.04; CI 95% 1.01 1.07) were variables independently associated to an unfavorable clinical outcome. The multivariate analysis indentified 4 independent predictors of acceptance to consultants recommendations: follow-up notes in the chart (P<0.001; OR 2.43; CI 95% 1.48 4.01), personal communication (P=0.001; OR 1.86; CI 95% 1.23 2.81), number of recommendations (P=0.001; OR 0.87; CI 95% 0.80 0.94) and patients age (P=0.002; OR 0.98; CI 95% 0.96 0.99). Therefore, in this analysis of cardiology referral, a poorer acceptance of cardiologic recommendations was associated to an unfavorable clinical outcome. Follow-up notes in the chart, personal communication, limited number of recommendations and lower patients age were associated to greater acceptance of cardiologic recommendations
Books on the topic "E-Referrals"
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Nicky, Metrebian, Van De Ban Jane, Dale Annette, and Centre for Research on Drugs and Health Behaviour., eds. Substance misuse and the A & E: A study of patterns of substance misuse and subsequent referral systems in the Charing Cross Accident and Emergency Department. London: The Centre for Research on Drugs and Health Behaviour, 1994.
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S. 724, S. 514, S. 1058, and H.R. 1294: Hearing before the Committee on Indian Affairs, United States Senate, One Hundred Tenth Congress, second session, on S. 724, the Little Shell Tribe of Chippewa Indians Restoration Act of 2007; S. 514, Muskogee Nation of Florida Federal Recognition Act; S. 1058, Grand River Bands of Ottawa Indians of Michigan Referral Act; H.R. 1294, Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2007, September 25, 2008. Washington: U.S. G.P.O., 2009.
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United States. Congress. Senate. Committee on Indian Affairs (1993- ). S. 724, S. 514, S. 1058, and H.R. 1294: Hearing before the Committee on Indian Affairs, United States Senate, One Hundred Tenth Congress, second session, on S. 724, the Little Shell Tribe of Chippewa Indians Restoration Act of 2007; S. 514, Muskogee Nation of Florida Federal Recognition Act; S. 1058, Grand River Bands of Ottawa Indians of Michigan Referral Act; H.R. 1294, Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2007, September 25, 2008. Washington: U.S. G.P.O., 2009.
Find full textBook chapters on the topic "E-Referrals"
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Lai, Cheng-Yang, and Yung-Ming Li. "A Social Referral Mechanism on e-Marketplace." In Lecture Notes in Business Information Processing, 97–108. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39808-7_9.
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Wang, Qian, Yufan Jiang, Chengcheng Liao, and Yang Yang. "Effects of Customer Referral Programs on Mobile App Stickiness: Evidence from China Fresh E-Commerce." In Advances in Intelligent Systems and Computing, 376–89. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21255-1_29.
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Ghoncheh, Rezvan, Carmen E. Vos, Hans M. Koot, and Ad J. F. M. Kerkhof. "Mental Health Online: A Self- Report and E-Learning Program for Enhancing Recognition, Guidance and Referral of Suicidal Adolescents." In Suicide Prevention and New Technologies, 76–86. London: Palgrave Macmillan UK, 2013. http://dx.doi.org/10.1057/9781137351692_6.
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Mahmood, Omer. "An Overview of Online Trust Derivatives for E-Commerce Adoption." In Encyclopedia of Information Communication Technology, 662–68. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-59904-845-1.ch087.
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This chapter identifies various individual and collective online trust transferring techniques that e-merchants can employ for their business growth. The individual sources include, Web user interface, provision of alternate dispute resolution, and availability of transaction insurance. The collective online trust transferring derivatives include trusted referrals, online reputation and use of privacy and security seals. In the next section an overview of each technique is presented. Followed by the overview, a conceptual model is presented which outlines the impact of each trust transferring source on different dynamics of e-business and each dynamic’s characteristics. The proposed model targets to assist the e-businesses to select a right combination of trust derivatives. Further assisting the e businesses in enhancing their brand value based on the behavior of their potential customer base.
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Diong, Ivan H. W., and Evelyn B. H. Toh. "The Influences of Reference Groups Towards the Usage of E-Wallet Payment Systems." In Handbook of Research on Social Impacts of E-Payment and Blockchain Technology, 428–55. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-7998-9035-5.ch023.
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This chapter investigates how the three referent groups (peers, parent, media) of subjective norms (SN) influence the intention of millennials to adopt e-wallets. This study is supported by the theory of planned behavior (TPB) and stimulus-organism-response (SOR) framework. A total of 215 usable responses were obtained and analyzed using SPSS 25 and SmartPLS 3.2.6. The data is collected using a self-administered survey (Lancaster Qualtrics) and distributed randomly using the snowball sampling technique. The results indicate that the decomposition of SN has a significant relationship towards the intention of millennials to adopt e-wallets. This chapter also provides useful insights on what are the other factors that would build the intention of millennials towards the usage of e-wallets. Moreover, TPB along with the SOR framework supports the findings and provides better credibility to this study. This chapter concludes that brands should leverage more capital on media advertisements rather than peer referrals if they want to capture a larger market.
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Radhakrishnan, Abirami, Dessa David, and Jigish Zaveri. "Challenges with Adoption of Electronic Medical Record Systems." In Encyclopedia of Healthcare Information Systems, 194–200. IGI Global, 2008. http://dx.doi.org/10.4018/978-1-59904-889-5.ch027.
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Among health care information systems, past research has credited Electronic Medical Records (EMR) systems with offering the greatest potential for improving quality within health care environments. Benefits range from reducing errors to cutting overall health care costs. For instance, the utility of an EMR system will allow physicians’ enterprise wide access to a patient’s entire medical chart, monitor patients’ care for possible drug interaction, proactively prompt doctor(s) with recommended treatment, provide clinical decision support, simplify record keeping, e-prescription, documented referrals, and reminders to patients and health care providers. In this article, we present the results from our study. The next section highlights challenges associated with EMR adoption and use. We conclude by suggesting solutions geared towards lessening these challenges thereby clearing the path for successful EMR adoption and use.
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Ellis, Michael. "Long-Term Planning and Legal Issues." In Caring for Autism. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190259358.003.0014.
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Please be aware that I am not an attorney and the following information should not be considered legal advice. The information contained in this chapter is what I have learned as a parent of a child with autism spectrum disorder (ASD) and as a doctor trying to help those with ASD navigate complex legal and financial decisions. I recommend all parents of children with ASD develop a relationship with a licensed attorney with experience in special needs in their jurisdiction. As this chapter details, there are many different legal issues you and your child may encounter as your child matures into adulthood. Having an attorney who is familiar with your specific situation and your child can be very reassuring should legal needs arise. If you have the financial capacity to place some funds in a retainer with an attorney so that they are available any time you need for a quick e-mail, phone call, or text message, it is often worth the expense and peace of mind. Parents can usually locate attorneys with experience in special needs by contacting their local bar associations, many of which maintain formal referral programs. Also, many autism support groups maintain lists of attorneys who specialize in various aspects of the law relevant to children with ASD. Your child’s medical providers may also be able to provide referrals. If you are like most parents of a child with ASD, you are overwhelmed with even the thought of long-term planning. You are likely thinking, “It is hard enough making it day by day, let alone considering long-term planning.” The truth is that most of us avoid thinking of the future because it is too frightening and uncertain. There is also little guidance from healthcare professionals on this very complex issue. However, much relief can be found in achieving a plan for your child’s future. Do not wait. It is important to talk with a financial planner when your child is young.
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Wootton, Richard, Pat Swinfen, Roger Swinfen, and Peter Brooks. "A low-cost international e-referral network." In Telehealth in the Developing World, 203–11. CRC Press, 2019. http://dx.doi.org/10.1201/9781315272917-20.
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Deussom, Rachel Hoy, Marc Mitchell, and Julia Dae Ruben. "Using Mobile Technology to Address the ‘Three Delays' to Reduce Maternal Mortality in Zanzibar." In E-Health and Telemedicine, 1140–54. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8756-1.ch057.
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The hallmark article by Thaddeus and Maine (1994) presented a framework to reducing maternal mortality by addressing the delays: (1) deciding to seek care; (2) reaching care; and (3) receiving adequate care. This project developed a phone-based system used by traditional birth attendants to address the three delays in two districts in rural Zanzibar. Mobile phones provided: clinical algorithms to screen pregnant mothers for danger signs; phone numbers and mobile banking to arrange and pay for transportation; and contacts for health facility staff to alert them of referrals. 938 mothers participated in the “mHealth for Safer Deliveries” project. The intervention achieved a 71.0% facility delivery rate in the project zone, compared to the regional average of 32.0% (NBS and ICF Macro, 2011). This project demonstrated the effectiveness of mobile technology in addressing childbirth's three delays and its potential to impact maternal mortality in low-income countries.
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Rondán-Cataluña, F. Javier, Jorge Arenas-Gaitán, and Patricio E. Ramírez-Correa. "The Relationship Between E-WOM from SNS or Internet and Purchase." In Electronic Payment Systems for Competitive Advantage in E-Commerce, 115–25. IGI Global, 2014. http://dx.doi.org/10.4018/978-1-4666-5190-6.ch007.
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The main proposal of this chapter is to analyze the influence of eWOM and Internet referrals across different product types, including gender as a moderator variable. In addition, some sub-objectives that drive to the main one are the following: 1) to analyze how important are the recommendations for the buying process, in the Internet and in SNS; 2) to study the gender effect on the importance of recommendations for the buying process; and 3) to examine the role of product types in the relationship between eWOM and purchase. Results pointed out that, in general, consumers prefer recommendations collected from the Internet to those picked up from their friends in SNS, but gender moderates the importance of SNS and Internet recommendations. In addition, the percentage of online purchase is significantly higher for men than for women.
Conference papers on the topic "E-Referrals"
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Steele, L., J. Dhaliwal, M. Watson, R. Klaber, and M. Coren. "G376(P) Use of a paediatric e-mail account service in optimising community management and outpatient referrals." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 24–26 May 2017, ICC, Birmingham. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313087.369.
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Robinson, Graham, Mahesh Bhalme, Veronica Hall, Gemma Heyes, Langlands Gillian, Liggett Nicola, and Samantha Osborne. "OTU-28 Don’t ask, won’t tell: Improving alcohol screening and hospital alcohol team referrals in A&E." In British Society of Gastroenterology Annual Meeting, 17–20 June 2019, Abstracts. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2019. http://dx.doi.org/10.1136/gutjnl-2019-bsgabstracts.430.
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Dark, Michael, Niharika Khanna, Adam Gaynor, Janaki Deepak, and Elena Klyushnenkova. "E-Referrals to the MD quitline during COVID-19: A retrospective descriptive analysis at the university of MD medical system." In NAPCRG 49th Annual Meeting — Abstracts of Completed Research 2021. American Academy of Family Physicians, 2022. http://dx.doi.org/10.1370/afm.20.s1.2946.
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Batra, Shivangi, Bhawna Narwal, and Amar Kumar Mohapatra. "Exposition of E-Healthcare and E-Referral Systems and the role of Machine Learning." In 2022 4th International Conference on Artificial Intelligence and Speech Technology (AIST). IEEE, 2022. http://dx.doi.org/10.1109/aist55798.2022.10065309.
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Frederick Tanprajna, Ryan. "Effect of E-Referral and E-Wom on Purchase Intention: An Empirical Study in Indonesia." In 11th International Conference on Modern Research in Management, Economics and Accounting. Acavent, 2020. http://dx.doi.org/10.33422/11th.meaconf.2020.12.83.
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Nikić, Stevo, Andrej Raspor, and Nikola Vukčević. "Do Employers Have Control Over the Collection and Distribution of Tips? Case Study: Slovenia and Montenegro." In 7th International Scientific Conference ERAZ - Knowledge Based Sustainable Development. Association of Economists and Managers of the Balkans, Belgrade, Serbia, 2021. http://dx.doi.org/10.31410/eraz.s.p.2021.97.
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Objective: The purpose of this paper was to determine whether tipping could reduce labor costs in the service sector. This research aims to better understand whether employees are more motivated to work because of the tip they receive. Methodology: We will achieve these goals based on the findings of the research from Slovenian and Montenegrin companies in 2019 and 2020. A quantitative survey was implemented on a convenience sample of 107 Slovenian, and 59 Montenegrin companies, using the non-probability sampling technique. Statistical data analysis was carried out with the help of IBM Statistic Package for Social Science (SPSS) software version 20. We investigated the area of tips from the point of view of the orderliness of the distribution of tips, what are the relations in Slovenia and Montenegro and whether the tip as a motivational activity is sufficiently used in these two countries. Originality: Tipping has received little attention in rewarding and motivating employees. Furthermore, there is no good, national source of guidance to help managers make decisions about tipping policies. This paper addresses these voids in Slovenia and Montenegro. Only a comprehensive discussion will be able to bridge this gap. Results: According to employees, the overall satisfaction with tips is better in Montenegro. Most employees allow the collection of tips, which is more present in Montenegro. In Slovenia, there is a regulated system of distribution of tips, while in Montenegro this system is not clearly defined. Moreover, in Slovenia, there is also an orderly system for the collection and sharing of tips. Due to this fact, in Slovenia, the distribution of tips includes both, the employees who are directly involved in providing services as well as their colleagues. By contract, in Montenegro, only employees directly involved in providing services are entitled to a tip. Practical implications: In order to decrease labor costs, we propose that the management takes control of tipping and integrates tips into the reward system. Also, the employees should be made aware of how tipping improves service and increases their income. Limitations: The sample was formed by the questionnaire that was distributed to various companies in the service sector as a non-probability method based on referrals from initial subjects to get another subject. The questionnaire was sent by e-mail directly. The data were obtained by the Chamber of Commerce of Slovenia and the Chamber of Commerce of Montenegro. The main problem with small samples is the interpretation of results. Therefore, the results cannot be fully generalized. This issue should be addressed in future tipping studies.
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Rao, Hui-ke, Zhi Zeng, and Ai-ping Liu. "Research on personalized referral service and big data mining for e-commerce with machine learning." In 2018 4th International Conference on Computer and Technology Applications (ICCTA). IEEE, 2018. http://dx.doi.org/10.1109/cata.2018.8398652.
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Quickert, S., PA Reuken, M. Rose, K. Boden, A. Stallmach, and T. Bruns. "Hepatitis E is a frequent cause of severe acute liver injury – a tertiary referral center experience." In 35. Jahrestagung der Deutschen Arbeitsgemeinschaft zum Studium der Leber. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0038-1677144.
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Fadhila, Regina Ratih, and Edi Istiyono. "A Case Study of E-Learning Readiness in Referral School State Senior High School 1 Paringin." In Proceedings of the 3rd International Conference on Current Issues in Education (ICCIE 2018). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/iccie-18.2019.72.
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Sharma, Manoj, and Alpana Sharma. "Truth of evidence collection, follow up and patient retrieval systems for gynaecological cancer patients: An Indian survey." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685351.
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Introduction: The Evidence Based Medicine in oncological sciences is founded on many factors. Pathetic state of patient retrieval system and follow up are some of the inherent problems faced in developing countries. The absence of follow up seems to affect the patient survival, intervention in case of predictive recurrence, and it also fails to fortifies authenticity of research and survival data. Paper outlines histrionics, evolved/recommended methodologies, nationwide survey with regards to authenticity of Evidence Based Practices in Oncological research. It opens the facts sheet of awareness, practice of follow-up and obstacles faced in India institutions. Relevant for obstetricians adopting Gynec Oncology. Aims and Objective: (1) To Evaluate the Evidence based practice of Gynec Oncology, (2) To evaluate the effectiveness of follow up methodologies, (3) Compliance of institutions and oncologist with regards to follow-up of Gynec cancer patients. Materials and Methods: The follow up methodology propagated; 1–6 address system (IARC 3 Address System), 2-Postcarding, 3-SMS/Telephony, 4-Door to door patient retrieval, 5-Family Physician referrals/feedback, 6-Software Alert on follow up defaulters in the Hospital Based Cancer Registry. etc. A stock taking was started 10 years back with repeated circulars on dates of “The National Cancer Calendar” (one date every months) that were sent to some 10,000 E-mail address of personnel/institutions connected with oncological sciences. Over five years 150 postgraduate examinees and 50 faculty in various institutions were interviewed on their 1 - Practicing Evidence Based Gynec Oncology and 2 - Understanding of Follow up/patient retrieval system practices in Gynec cancers. As an inspector of a major medical accreditation institution 50 institutions were inspected and existence of their follow up methodologies were evaluated. 100 post graduate dissertations reviewed, were studied with regards to status of follow up in the study carried out or the existence of follow-up system in the institution. Undergraduate students and their text books were searched if they are educated about follow up and necessity of patient retrieval system and its significance in Medical sciences. Faculty/Specialist of Obs and Gyn departments were interviewed for the same. Observations and Results: Response to circulars on follow up in cancer patients was cold shouldered, 95 percent of examinee PG students did not know how to follow up the cancer patients, out which as many as 90 percent of their institutions did not have any follow up system in order. 99 percent of dissertation did not show any effort from the side of candidate for patient retrieval system in order to fortify the research data. Only 20 percent institutions had infrastructure and significant effort (including door to door retrieval) on following up the patients that are treated there. Non of the undergraduate text books had guidelines or teaching in follow up so were total blankness of concept of follow up with undergraduate students. The awareness of Evidence based practice of Gynec oncology in most of the faculty of Obs and Gyne Departments was abysmal and “Not Necessary or Not possible” issue. Conclusion: Death and prolongation of survival both in curable and not so curable gynec cancers is directly related to Patient retrieval through follow up that generates evidence on Indian patients. In order to improve the survival and timely therapeutic intervention, follow up has to be strengthen at under graduate and post graduate medical teaching. This also applies for the authenticity of oncological research data that is produced in large numbers in developing countries. This is especially significant in the large poor socio economic gynec cancer patient population with poor literacy levels and far off homes from cancer treatment centres.