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For six specified cancers, investigation in primary care was associated with later referral for specialist assessment.
Further experimental research into the long-term effectiveness of early versus later referral is required to determine the preferred procedure.
We found that for six specified cancers, investigation in primary care of the presenting symptom(s) was associated with later referral for specialist assessment.
This interpretation is in accordance with former findings of higher GP referral rates for the better or more educated [ 22, 31], and later referral of women [ 32].
The senior health worker, an Aboriginal health worker or mental health worker and/or the participant's nominated confidant assessed the urgency in the short term and immediate consultation or later referral to appropriate mental health services was arranged.
Record the results for later referral.
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One month later, after referral to a tertiary cancer center, he underwent a partial hepatectomy with resection of segments 4 and 5, pelvic lymphadenectomy, common bile duct excision, and reconstruction using a Roux-en-Y hepaticojejunostomy.
For later referrals meeting these criteria, the PTSD protocol was employed as earlier experience had suggested this was the more appropriate treatment.
Children in managed care appear to have later referrals to specialty care, and physicians claim that managed care creates barriers to referrals, including administrative barriers and lack of appropriate care in the plan [ 41, 43, 45, 46].
It is highly possible later referrals of Whites based on serum creatinine reflects primary care physicians' lack of knowledge regarding the severity of kidney dysfunction associated with lower serum creatinine levels among Whites.
We found that delirium was more common in patients with later referrals to the PCT than in those who received early referrals, and that patients with no delirium were significantly associated with the under-diagnosis of pain (OR 2.92, 95% CI 1.23 − 6.94; Table 4).
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