Patient Referral to Secondary and Tertiary Health Care Levels

2016 ◽  
pp. 135-146
Author(s):  
Cari Borrás ◽  
Patrick Cadman
Keyword(s):  
Health Care ◽  
Patient Referral

Towards Healthy China 2030: Modeling health care accessibility with patient referral

2021 ◽  
pp. 113834
Author(s):  
Yixiong Xiao ◽  
Xiang Chen ◽  
Qiang Li ◽  
Pengfei Jia ◽  
Luning Li ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Referral ◽  
Health Care Accessibility

Reducing referral leakage: an analysis of health-care referrals in a service ecosystem

2020 ◽  
Vol 34 (4) ◽  
pp. 513-528
Author(s):  
Genevieve Elizabeth O’Connor ◽  
Laurel Aynne Cook
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Organization ◽  
Care Providers ◽  
Data Set ◽  
Content Type ◽  
Patient Referral ◽  
Service Ecosystems ◽  
Patient Referrals ◽  
Future Patient

Purpose The purpose of this paper is to address a critical problem for health-care organizations: patient referral leakage. This paper explores the nature of patient referrals by examining how health-care providers’ breadth and depth of connectivity within a hospital network and identification with each other influence the likelihood of future patient referrals. Design/methodology/approach The data was collected by using a multi-sourced data set from the health-care industry. The proposed model was tested by using logistic regression to determine the likelihood of a primary care physician’s (PCP) referral to a specialist within a hospital network. Findings A model linking provider connectivity to examine co-creation practices in the form of patient referrals is tested. Results indicate that patient referrals are multidimensional. A PCP’s likelihood to refer to a specialist within the hospital network is influenced by the breadth and depth of connectivity of each provider. Research limitations/implications This investigation extends service ecosystems to patients, health-care providers and hospital organizations, making it the first to explore how different degrees of connectivity (breadth of referral partners and depth of exchange) between and among health-care providers influence the likelihood of future patient referrals. Findings complement extant literature on service ecosystems by empirically showing that provider relationships are interdependent and rely on the mutual coordination of benefits within the entire health-care organization and network. Practical implications Managers and health-care professionals can use the framework to build and strengthen relational ties/alliances within a service organization. An ecosystems perspective reduces patient referral leakage through enhanced organizational performance, competitive advantage and continuity of care. Originality/value The authors offer a novel view of referral relationships using hard-to-access proprietary data. Moreover, this study responds to the need for transformative service research by offering service researchers and policymakers a means to enhance consumer well-being. The main contribution of this study is a framework to gain a better understanding of patient referral relationships between employees (i.e., health-care providers) in an organization, thereby affording an opportunity to bolster operational efficiencies, improve clinical outcomes and strengthen referral pathways. By viewing health-care networks through a service ecosystems perspective, contextual boundaries and the relative power of relationships are also identified. The novel use of rarely available hospital data in this setting helps explain how patient leakage compromises the health of the ecosystem and its members.

scholarly journals Reference System from Health Levels to Emergency Clinic Center in Kosovo

2020 ◽  
Vol 4 (2) ◽  
pp. 699-704
Author(s):  
Basri LENJANI ◽  
Nehat BAFTIU ◽  
Premtim RASHITI ◽  
Ilaz BUNJAKU ◽  
Nuhi ARSLLANI ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
National Level ◽  
Complete Recovery ◽  
Developed Countries ◽  
Referral System ◽  
Patient Referral ◽  
Country Level ◽  
General Goal ◽  
Laws And Policies

The process of patient referral system at the level of health care is a comprehensive institutional framework with responsible, well-defined competencies, as a network of cooperation with the general goal of maintaining health, treatment, stabilization, transport and medical care up to in the complete recovery of the sick. The process of patient referral system in most countries in Europe and in the world is a challenge for most developing and developed countries. The mechanisms of the referral system function at different national, regional and municipal levels based on national laws and policies and work on the basis of efficient lines of communication by creating clear and simple steps and procedures described. The referral system in Kosovo is disorganized, chaotic, the Ministry of Health must have a national document of the referral system for patients at the health level, and before that all health care professionals are educated, trained on the way of the referral system, which cases must be sent from the primary, secondary and tertiary level. At the national level, the National Coordinating Council with a national plan of the patient referral system can convey the quality; help the health care professionals based on the current health legislation, the harmonization of unique standardized protocols with follow-up guidelines. Patients at the country level.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

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