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: There is effective therapy for the common problem of migraine-associated dizziness, and 100% of the patients in the migraine without active headache group received substantial relief of their vertigo or disequilibrium symptoms with migraine therapy.
Abstract: ObjectiveTo determine patient characteristics and effectiveness of therapy for migraine-associated dizziness.Study DesignRetrospective chart review.SettingTertiary referral center.PatientsPatients were identified through a code query of billing records for the diagnosis of migraine-associated vertig
159 citations
TL;DR: This article identified the relative contributions of some of the variables that are thought to influence teachers' referral judgments, and identified the primary variables that have been identified in the l... and found that these variables were correlated with teacher referral judgments.
Abstract: This study sought to identify the relative contributions of some of the variables that are thought to influence teachers' referral judgments.The primary variables that have been identified in the l...
159 citations
TL;DR: Women seen in public gynecology settings are at very high risk of developing psychiatric disorders, and low-income and ethnic minority women seen in such settings underutilize mental health services, it is important to better understand treatment preferences and obstacles among this high-risk patient population.
159 citations
TL;DR: Two-thirds of women bringing their children for pediatric care had health problems regardless of the site of care, and strategies to connect or reconnect mothers to comprehensive adult primary care from a variety of pediatric settings should be explored.
Abstract: Objective. Previous work has focused attention on the prevalence of specific maternal health problems known to affect children, such as smoking or depression. However, the cumulative health burden experienced by mothers and the potential for a practical pediatric health services response have not been examined. The aims of this study were to characterize: 1) the prevalence and cumulative burden of maternal health behaviors and conditions, 2) maternal access to a source of comprehensive adult primary care, and 3) maternal perceptions of a pediatric role in screening and referral. Methods. We surveyed 559 consecutive women bringing a child 18 months of age or less to one of four pediatric primary care sites between July 1996 and May 1997. The pediatric sites included one outpatient program in an academic hospital, one in a community health center, and two in-staff model practices of a managed care organization (these last two were combined for analysis). The self-administered questionnaire contained previously validated questions to assess health behaviors and conditions (smoking, alcohol abuse, depression, violence, risk for unintended pregnancy, serious illness, self-reported health) and access to care (regular source, regular provider, health insurance, care delayed or not received). Maternal attitudes toward a pediatric role in screening and referral were also elicited. Results. In the three settings, response rates ranged from 75% to 84%. The average age of the women ranged from 25.1 to 32.1 years and the average age of the children ranged from 6.5 to 8.0 months. Across the settings, the percentage of women reporting at least one health condition (66%–74%) was similarly high, despite significant demographic differences among sites. Many women reported more than one condition (31%–37%); among all women who smoked, 33% also screened positive for alcohol abuse, 31% for emotional or physical abuse, and 48% for depression. Access to comprehensive adult primary care was variable with 23% to 58% of women reporting one or more barriers depending on the site. Across all sites, >85% of mothers reported they would “not mind” or “would welcome” a pediatric role in screening and referral. Conclusions. Two-thirds of women bringing their children for pediatric care had health problems regardless of the site of care. Many women also reported substantial barriers to comprehensive health care. Most women reported acceptance of a pediatric role in screening and referral. Given the range and depth of maternal health needs, strategies to connect or reconnect mothers to comprehensive adult primary care from a variety of pediatric settings should be explored.
159 citations
TL;DR: There is a need for investment in district hospitals to make referrals visibly worthwhile and for professional upgrading of the human resources at the first contact level, so as to allow for more effective referral patterns.
Abstract: Background
For a health district to function referral from health centres to district hospitals is critical. In many developing countries referral systems perform well below expectations. Niger is not an exception in this matter. Beyond obvious problems of cost and access this study shows to what extent the behaviour of the health worker in its interaction with the patient can be a barrier of its own.
159 citations