Topic
Referral
About: Referral is a research topic. Over the lifetime, 27614 publications have been published within this topic receiving 479918 citations.
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TL;DR: To determine off-road and on-road driving evaluation practices of clinicians in the United States and Canada who assess individuals with disabilities for fitness to drive, a self-administered questionnaire was elicited.
Abstract: OBJECTIVE To determine off-road and on-road driving evaluation practices of clinicians in the United States and Canada who assess individuals with disabilities for fitness to drive PARTICIPANTS Participants were 114 clinician attendees at the 2003 annual Association of Driver Educators for the Disabled with driving assessment experience ranging from 1 month to 25 years MEASURES Information was elicited regarding the clinician, clientele, referral practices, and off-road and on-road driving evaluation practices and retraining practices using a self-administered questionnaire RESULTS Participants were largely occupational therapists (68%) who worked in 42 different states and provinces The most prevalent clientele were persons with traumatic brain injury (97%) and stroke (96%) Testing times greater than 60 min were common for both the off-road (61%) and on-road (49%) evaluations Commonly performed off-road assessments included the Brake Reaction Timer; Trail Making Test, Parts A and B; and the Motor Free Visual Perception Test, used by 73%, 72%, and 66%, respectively; comprehensive computer-based driving evaluation was rare Sixty-one percent indicated that all clients underwent on-road evaluation regardless of the off-road results Finally, 78% used a standard driving route, whereas 24% used a scoring system to evaluate on-road driving CONCLUSION Driving assessment in Canada and the United States is multidimensional and time-intensive Although the domains being assessed are similar across clincians, specific off-road and on-road assessment practices vary greatly The majority use nonstandardized on-road assessments
109 citations
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01 Mar 2000
TL;DR: A training guide for college students serving as leaders, tutors, counselors, or advisors to their peers, this book offers guidance on tasks such as tutoring, student orientation, residence hall advising, crisis intervention, and coaching.
Abstract: List of Figures and Tables Foreword (John N Gardner) Preface About the Authors 1 Peer Educators on the College Campus 2 Student Maturation and the Impact of Peers 3 Enhancing Cultural Proficiency 4 Interpersonal Communication Skills: Creating the Helping Interaction 5 Problem Solving with Individuals 6 Understanding Group Process 7 Leading Groups Effectively 8 Strategies for Academic Success 9 Using Campus Resources and Referral Techniques 10 Ethics and Strategies for Good Practice 11 Examples of Peer Education Programs in Higher Education Glossary References Index
108 citations
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TL;DR: It is suggested that nonreferral for dialysis occurs in Ontario and that the act of referral, or nonreFERral as the case may be, is influenced by both age and coexisting disease.
Abstract: Background: Because the incidence rates of treated end-stage renal disease are much lower in Canada than in the United States, we hypothesized that decisions, made by family physicians and community internists, not to refer certain patients to nephrologists might explain this difference. Objective: To elicit patterns of practice and attitudes from nonnephrologist physicians who care for, and possibly refer, patients with renal disease. Methods: A mailed survey was sent to a random sample of 1924 members of the Ontario Medical Association, Sections on General and Family Practice and Internal Medicine. Of 1778 eligible respondents, responses were received from 728 physicians (40.9%). Results: Patients with microscopic hematuria (79.2%), proteinuria (69.5%), and serum creatinine levels in the 120 to 150 μmol/L (1.4 to 1.7 mg/dL) range (84.3%) were generally not referred by family physicians. A hypothetical question about patient age and comorbid features revealed that physicians were less likely to refer patients as their age and comorbidity increased. In response to the question, "In the past 3 years, did you care for a patient who, after due consideration, died of renal failure without referral for dialysis," 14.2% of family physicians and 44.6% of internists said yes. Overall, 67.4% of respondents strongly or somewhat agree that rationing of dialysis is occurring now. Opinions about possible criteria for rationing of dialysis were that the majority strongly or somewhat agreed to basing a decision on the wishes of a competent patient (94.1%), short life expectancy (87.9), poor quality of life (87.0%), and age (63.6%). Conclusions: These results suggest that nonreferral for dialysis occurs in Ontario and that the act of referral, or nonreferral as the case may be, is influenced by both age and coexisting disease. The patterns of nonreferral reported raise a concern that patients who might benefit are not being referred to dialysis centers. (Arch Intern Med. 1995;155:2473-2478)
108 citations
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TL;DR: It is concluded that even among those patients with health insurance, delayed referral to the nephrologist is more likely in black, Hispanic, and older patients with chronic renal failure than in their white or younger counterparts.
108 citations
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TL;DR: In this article, the authors examined systematic criteria predicting physician referral to and patients' participation in cardiac rehabilitation programs, including catheterization, bypass surgery, cardiologist/cardiac surgeon appointment, age, and type of provider.
108 citations