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CYP with MSK problems invariably do not present to specialists directly, referral pathways are often complex and reasons for delay are multifactorial [ 11].
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Children with ASD and DD were identified through the California Regional Center system, which contracts with the State Department of Developmental Services (DDS), lists obtained from the DDS directly, referrals from other research studies at the MIND (Medical Investigations of Neurodevelopmental Disorders) Institute and from various clinics, and self-referrals.
We have found no previous population-based studies looking directly at referral patterns for lung cancer despite most guidelines assuming a referral pathway to hospital that includes a CXR ordered by a general practitioner.
Alternatively, patients can access a specialist service directly without referral.
Pulmonary embolism was diagnosed in 68 patients directly after referral.
Patients may also enter all of these medical centres directly, without referral.
The sampling procedure was convenient and consecutive, with participants contacting the centre directly without referral.
More than half of clients 206 (54%) came to the hospital directly without referral.
18 19 20 Care providers were primary care rheumatologists who, in France, are specialist doctors whom patients can consult directly without referral.
Though we examined sources of patient admission at POHs and other hospitals, we did not directly investigate referral patterns by physician owners of POHs.
A system should be developed for recording cases from communities that go directly to referral hospitals when complications arise, in order to ensure that the data is not lost to their home health centers and districts, particularly when mortality arise.
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