How long are United Healthcare referrals good for?
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| Papers (10) | Insight |
|---|---|
Open access•Journal Article 10 Citations | PROBLEM ADDRESSED Timely access to specialist care is an important issue for patients with mild to moderate symptoms, and wait times for referrals are currently quite long. |
19 Citations | To accommodate the two-week rapid access referrals and achieve UK government targets, there was a reduction in appointments for routine outpatient referrals. |
9 Citations | Inadequate referrals can lead to prolonged waiting time for examination and treatment. |
| E-consultation referrals improved access to and timeliness of care for an underserved population, reduced overall specialty utilization, and streamlined specialty referrals without any increase in adverse cardiovascular outcomes. | |
| Only 15.6% of the hospital physicians perceived the quality of the referrals to be “usually good”, and both lack of information in referrals and inappropriate referrals are seen as important barriers to cooperation with GPs. | |
6 Citations | If referrals into secondary care continued to be reduced on a long-term basis, the system would be cost effective despite the time and effort required for clinical triage. |
| Most such referrals are generated in hospitals rather than in primary care: this finding has important implications for demand management. | |
33 Citations | Our evidence suggests several procedural improvements with immediate benefit for improving the quality of referrals. |
36 Citations | Our analysis sheds light on how to implement a healthcare referral scheme. |
10 Citations | Hospice referrals need to be considered earlier in their disease process for terminally ill patients. |
Related Questions
Are exercise referral schemes effective?5 answersExercise referral schemes (ERSs) have shown varying effectiveness. Studies have highlighted factors influencing ERS outcomes, such as delivery mode, socio-demographic characteristics, and program content. Different delivery modes impact scheme uptake and adherence, with face-to-face consultations and telephone calls enhancing effectiveness for mental health referrals. Self-referral access to ERSs may widen participation opportunities without affecting completion rates significantly. International ERS designs vary in components like assessment, counseling, and follow-up, suggesting key elements for effectiveness. In England, ERSs commonly run for 12 weeks, offering gym-based sessions, but lack standardized evaluation methods. Overall, while ERSs have potential benefits, their effectiveness depends on various factors that need further exploration and standardization for optimal outcomes.
How can the referral-based system be improved?5 answersThe referral-based system can be improved by implementing machine learning (ML) models to increase accuracy and diagnostic performance. These ML models can correctly classify patients with inflammatory rheumatic diseases (IRD) and improve the current algorithm's diagnostic accuracy. Additionally, including further laboratory parameters and enabling individual feature importance adaption can increase accuracy and broaden the usage of the system. Furthermore, the development of an electronic referral system can improve communication between primary care providers and specialists, leading to better coordination, continuity of care, and faster referral process. Healthcare providers' suggestions for the electronic referral system include standardized and complete electronic referral requests, features to facilitate urgent cases, and procedures for the transition phase. Referral scarcity, limiting the number of referral rewards, can also improve referral effectiveness, especially for holistic-thinking recipients. Overall, these improvements aim to enhance the health information exchange, coordination, and continuity of care in the referral-based system.
Who to give referral in mental health?5 answersReferrals in mental health are given by various professionals depending on the specific context. Genetic counselors (GCs) refer patients to mental health professionals (MHPs) when they perceive limited social support or significant anxiety related to at-risk status or recent diagnosis. Athletic trainers in college athletics departments play a pivotal role in recognizing and referring student-athletes to advanced care for mental health issues, but they may lack formal training in this area. Private practitioners in mental health counseling may seek out peer consultation to enhance their clinical practice and professional development. School counselors value mental health providers and engage in collaborative relationships with them, but communication and teaming between the two sets of professionals may be lacking after the referral is made. Therefore, referrals in mental health can be made by genetic counselors, athletic trainers, private practitioners, and school counselors, depending on the specific context.
What are the limitations of physician referrals?4 answersPhysician referrals have limitations in healthcare. One limitation is the potential for conflicts of interest, where physicians may refer patients to facilities they own or have financial interests in, leading to unethical practices such as self-referral and fee-splitting. Another limitation is the reliance on physician referrals for choosing specialists and facilities for medical procedures, with limited use of online provider information or active shopping for price and quality information. Additionally, referral patterns during prenatal care visits show that referrals are more commonly initiated by family medicine physicians than by OB/GYNs, highlighting potential variations in referral practices. Understanding these limitations is important for improving the coordination and quality of care, as well as ensuring ethical practices in healthcare referrals.
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