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: The case load was dominated by dogs with evidence that cats are underrepresented in orthopaedic practice, and there were striking similarities between the case loads of primary care and referral institutes.
Abstract: A two-month survey of small animal orthopaedic conditions was conducted by members of British Veterinary Orthopaedic association. Clinicians from 42 clinics participated from a variety of practice including referral, primary care and teaching institutions. A total of 1627 cases were recorded. The case load was dominated by dogs with evidence that in UK cats are underrepresented in veterinary orthopaedic practice. Evidence of breed predisposition to orthopaedic disease in dogs was not detected. The importance of trauma in younger patients and degenerative diseases in older dogs was confirmed. A strong similarity between the case loads seen at primary care and referral practices was recorded. The results of this survey may be useful to those planning clinical orthopaedic teaching and research programmes. Members of BVOA recorded and collated details of all orthopaedic cases seen during February and March 1994. The case load was dominated by dogs with evidence that cats are underrepresented in orthopaedic practice. There were striking similarities between the case loads of primary care and referral institutes. The findings of this survey may help those responsible for planning clinical orthopaedic teaching and research.
100 citations
TL;DR: To assess whether motorcycle ambulances placed at rural health centers are a more effective method of reducing referral delay for obstetric emergencies than a car ambulance at the district hospital, and to compare investment and operating costs with those of a 4 wheel drive car ambulance.
99 citations
TL;DR: In a subgrouping of violent patients who inflicted injuries and did not inflict injuries, a higher percentage of the injury-inflicting patients were found to have a diagnosis of schizophrenia, and these patients also had a higher level of aggression at referral.
Abstract: In an effort to improve the prediction of violence among psychiatric inpatients, the authors retrospectively studied 25 patients who were violent and 34 who were not violent after admission to a psychiatric emergency ward in Norway. The only demographic variable that discriminated between the two groups was violence in the family of origin; the violent group had experienced significantly more. The best single predictor of violence was a history of previous violence by the patient, which correctly classified 80 percent of the patients. The combined information about patients' level of aggression rated at referral and level of anxiety rated at admission correctly classified 78 percent. In a subgrouping of violent patients who inflicted injuries and did not inflict injuries, a higher percentage of the injury-inflicting patients were found to have a diagnosis of schizophrenia. These patients also had a higher level of aggression at referral.
99 citations
TL;DR: There is a need for greater clarity around the indications for treatment and referral of CMHDs, including severity, duration, associated disability, and other factors likely to affect responses to drug and psychological treatments.
Abstract: NICE has developed a guideline on the identification of common mental health disorders (CMHDs) and on pathways to care for these disorders.1 These CMHDs include:
The prevalence of CMHDs in the community is around 15%, and even higher, around 20%, among people attending general practice. The costs of CMHDs are high. They are estimated to cause 1 in 5 days lost from work in Britain.2 There are problems with access to care and with identification of people with CMHDs. In the 2007 household survey of adult psychiatric morbidity only 38% of people with CMHDs had asked their GP for help, and only 24% were receiving treatment (14% medication; 5% counselling; and 5% both).3
The aim of the NICE guideline is to improve access to services, improve the recognition and identification of CMHDs, and provide advice on developing care pathways. There is a need for greater clarity around the indications for treatment and referral of CMHDs, including severity, duration, associated disability, and other factors likely to affect responses to drug and psychological treatments. A more systematic approach to organising care pathways is needed, including the consideration of developing ‘stepped care’ systems and ‘collaborative care’ across the primary and secondary care sectors of the NHS.
The guideline also brings together in one place advice from existing NICE guidelines on referral for and treatment of the disorders. These are guidelines on depression in adults,4 depression with chronic physical health problems,5 GAD and panic disorder,6 antenatal and postnatal mental health,7 OCD,8 and PTSD.9 The individual guidelines already developed cover treatment, but vary in their coverage of identification, assessment, and appropriate referral.
### Identification
The guideline states that practitioners should be …
99 citations
Journal Article•
99 citations