Electronic primary care to specialist referral: A pilot project to evaluate referral expedience and efficacy.
Journal
Journal of the American Association of Nurse Practitioners
ISSN: 2327-6924
Titre abrégé: J Am Assoc Nurse Pract
Pays: United States
ID NLM: 101600770
Informations de publication
Date de publication:
24 Feb 2020
24 Feb 2020
Historique:
received:
05
08
2019
accepted:
02
12
2019
pubmed:
26
2
2020
medline:
25
11
2021
entrez:
26
2
2020
Statut:
epublish
Résumé
Delayed referrals to specialists often result in increased morbidity and mortality. A time delay in specialist care access of over 1 month identified a gap in efficient care provision in a rural south central United States outreach clinic within a multispecialty group affiliated with a hospital system. A pilot project with a mixed-methods design that compared the established referral process with direct primary provider referral to a specialist's electronic medical record (EMR) schedule. Authors conducted the study over 16 weeks using a convenience sample size of 74 patients. Direct primary care nurse practitioner provider to specialist EMR schedule referral based on specialty referral needs. All electronically referred patients were seen by specialists in less than 1 month. All electronic specialist referrals were completed more expediently than those referred by the standard process and patients reported an efficient and satisfactory process.
Sections du résumé
BACKGROUND
BACKGROUND
Delayed referrals to specialists often result in increased morbidity and mortality.
LOCAL PROBLEM
OBJECTIVE
A time delay in specialist care access of over 1 month identified a gap in efficient care provision in a rural south central United States outreach clinic within a multispecialty group affiliated with a hospital system.
METHODS
METHODS
A pilot project with a mixed-methods design that compared the established referral process with direct primary provider referral to a specialist's electronic medical record (EMR) schedule. Authors conducted the study over 16 weeks using a convenience sample size of 74 patients.
INTERVENTIONS
METHODS
Direct primary care nurse practitioner provider to specialist EMR schedule referral based on specialty referral needs.
RESULTS
RESULTS
All electronically referred patients were seen by specialists in less than 1 month.
CONCLUSIONS
CONCLUSIONS
All electronic specialist referrals were completed more expediently than those referred by the standard process and patients reported an efficient and satisfactory process.
Identifiants
pubmed: 32097191
pii: 01741002-202104000-00011
doi: 10.1097/JXX.0000000000000377
doi:
Types de publication
Journal Article
Langues
eng
Pagination
318-323Informations de copyright
Copyright © 2020 The Authors. Published by Wolters Kluwer on behalf of the American Association of Nurse Practitioners.
Déclaration de conflit d'intérêts
Competing interests: The authors report no conflicts of interest.
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