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Data to inform the availability of referral guidelines are not as straightforward as hoped.
The decision was made to re-audit the legal requirement for and availability of referral guidelines in those countries previously reporting that referral guidelines were not available.
A greater availability of referral health services in the locality has no significant effect on decision to seek care, while greater availability of staff and equipment increases the probability of seeking care when ill.
To update the situation, those countries previously reporting no guideline availability were re-audited with surveys sent out to national professional societies and competent authorities enquiring as to the awareness of availability of national legislation and to the availability of referral guidelines, including work in progress.
A greater availability of referral health services in the locality has no significant effect on the decision to seek care, while the availability of staff and equipment in all HFs, although small, has a positive and causal effect on the decision to seek care, but only among those individuals who can reach a HF within one hour.
Practitioners appear less likely to provide some services where the availability of referral services (e.g. for dental and mental health care [ 16]) is limited.
Similar(50)
Limited availability of referrals to surgery, specialists and ICU beds, prescriptions of drugs and hospital beds were most frequently experienced on a daily or weekly basis.
There was no strong link between referral and the remoteness of areas or the availability of surgical referral services.
The ESR-led European Commission study in the year 2013 demonstrated the inadequate status quo with limited availability of imaging referral guidelines in Europe, since 70%% of countries had some type of guidelines.
A web-based survey was used to assess the availability of imaging referral guidelines, development methodology and preferences for future initiatives for European community action to facilitate justification and appropriate use of radiological diagnostic procedures.
From the clinical perspective the essential elements that should be addressed in the contract are the availability of the referral letter, access to prior images and EPR, imaging quality assessment and communication procedures.
More suggestions(18)
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