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"We are very clear that is not the basis on which referral should be undertaken - they should be undertaken on the basis of a judgement of clinical priority".
Nevertheless, there is little consensus on which referral criteria for children with growth retardation are appropriate [ 1].
To examine which referral pathways were associated with GHS service levels, participant usage data from July 2010 to June 2011 was examined.
Dietary therapy and physical therapy are the only two recommended non-surgical treatments that an orthopaedic surgeon cannot provide himself, but for which referral is needed.
Guidelines do not specify which motivational strategies to use, which PN procedures to follow, or which referral strategy is preferred and how exactly to implement it.
Diabetes management algorithms should now include points at which bariatric surgery should be considered and points at which referral is recommended or prioritized (Table 9).
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Such endeavors are likely to produce a cascade of effects, including increasing referrals of children at risk and lowering the age at which referrals are made, which may result in lowering the age at which evidence-based early intervention begins and maximizing developmental trajectories of children with autism.
However, even when regulation allows referrals, there is a need to clarify and agree on the conditions for which referrals should be made.
Inclusion of cancer-survivors to community-based rehabilitation was affected by the way in which referrals from hospital and community-based services were organized.
Socio-economic variations in the utilization of specialist services seem to be well-established in health systems in which referrals to specialists are made by primary physicians who play an important role in follow-up visits and hospital admissions.
We have found no comparable studies in which referrals for different clinical areas have been scored using the same scoring technique, and it is therefore hard to assess whether this quality difference is a general phenomenon.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com