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: Connecting private physician offices to a state-level quit line is feasible, can be accomplished at low cost with minimal use of resources, and may be cost effective, and regional, state, and local tobacco quit lines should consider a physician office "quit-line connection" as a practical approach to increase utilization.
97 citations
TL;DR: Caucasian youth were more likely to receive orders for psychotherapy and to have documented use of psychotherapy than were African American and Hispanic youth, even when the possible confounding effects of age and type of maltreatment were controlled.
97 citations
TL;DR: The inclusion of women's voices in the objectives of safe motherhood programmes is necessary to better serve women's needs.
97 citations
TL;DR: Pharmacists can play a useful role in the identification, education, and referral of patients at risk for osteoporosis through pharmacy-based BMD screening and third-party payers are willing to compensate pharmacists for collaborative community health management services.
Abstract: Objective (1) To identify patients at risk for osteoporosis through community pharmacy-based bone mineral density (BMD) screening, to refer at-risk patients to primary care and/or specialty practice physicians, and to follow-up with at-risk patients; (2) to treat and manage osteopenic and osteoporotic patients referred to the pharmacy for medication therapy management services; and (3) to test a payment methodology for pharmacists who deliver community health management services to a population at risk for or diagnosed with osteoporosis. Design Single-cohort observational study. Setting Ukrop's Super Markets, Inc. Grocery and Pharmacy, a 29-store chain with 22 pharmacy locations in Richmond, Virginia. Participants Consumers with one or more known risk factors for osteoporosis in Ukrop's customer service area. Intervention During the initial phase (health promotion and disease prevention) of the project, pharmacy-based osteoporosis screening with referral and follow-up was provided to consumers who responded to Ukrop's screening promotions. The second phase—provision of collaborative community health management services focused on osteoporosis monitoring and management— is ongoing and includes patients who are at risk for or diagnosed with osteoporosis and are covered by a regional payer. Main Outcome Measures Results of screenings; responses of patients and physicians to notifications; and long-term results during collaborative care. Results The pharmacists screened 532 patients and were able to contact 305 of these patients for follow-up interviews 3 to 6months later. The stratification for risk of fracture was 37%, high risk; 33%, moderate risk; and 30%, low risk. A total of 78% of patients indicated that they had no prior knowledge of their risk for future fracture. In the moderate- and high-risk categories, 37% of patients scheduled and completed a physician visit, 19% had a diagnostic scan, and 24% of those patients were initiated on osteoporosis therapy subsequent to the screening. Participating pharmacies received payment for both the osteoporosis screening and the collaborative health management services. Conclusion Pharmacists can play a useful role in the identification, education, and referral of patients at risk for osteoporosis through pharmacy-based BMD screening. Patients are willing to pay for pharmacy-based osteoporosis screening services. Third-party payers are willing to compensate pharmacists for collaborative community health management services.
97 citations
TL;DR: Joint consultation sessions of GPs and orthopaedic surgeons within the framework of general practice resulted in more efficient care, with better targeted examination, treatment, and referrals.
97 citations