In broad overview, the exceptions address referrals within physician groups, in-office ancillary services, prepaid plans, intra-family rural referrals, academic medical centers, preventative screening tests, immunizations and vaccines, and eyewear following cataract surgery.
A number of additional questions addressed referral and reporting practices (Table 6).
The fidelity of this intervention will be assessed by recording the number of correctly addressed referral letters sent.
Again there is limited literature addressing the role of the DT and PL in client referral, and the few studies that have addressed referral have been largely descriptive.
Regular meetings between PHC facilities and up-referral hospital staff also facilitated NIMART implementation by improving communication, addressing referral pathway weaknesses and building more supportive intercollegial relationships.
As the Dutch Consensus Guideline (DCG) is the only guideline addressing referral criteria as well as diagnostic work-up, the analyses were based on its seven auxological referral criteria to determine the characteristics of children who are incorrectly referred and the adequacy of workup of those who are referred.
To create a list of telephone numbers and addresses, referrals from friends, relatives, family members, and religious places such as temples were used.
The feed-back statements for the four language versions (American English, U.K. English, Germany German, and Switzerland German) were adapted to incorporate regional variations including postal addresses, referrals to health providers, and access or payment for preventative care services.
Patients are usually treated at the hospital serving their residential address, limiting referral bias.
