Elektronisk henvisning og kvaliteten pÃ¥ henvisningen - KITHs

More documents

Recommendations

Info

Elektroniske henvisninger Elektroniske Antall 2010 2010 % Antall 2011 2011 % Antall 2012 2012 % Januar 0 0,0 % 2 938 46,6 % 4 084 55,3 Februar 0 0,0 % 2 713 40,6 % 3 723 58,3 Mars o 0,0 % 3 106 42,1 % 4 202 60,5 April 0 0,0 % 2 357 44,2 % 3 071 56,6 Mai 0 0,0 % 3 323 46,5 % 4 283 61,8 Juni 473 7,7 % 2 998 44,2 % 2 986 44,0 Juli 382 10,3 % 1 918 46,0 % 2 621 59,9 August 754 15,0 % 3 106 52,9 % 3 929 63,5 September 1 070 15,3 % 3 754 51,2 % Oktober 1 178 19,1 % 3 619 54,5 % November 1 385 20,5 % 4 094 56,9 % Desember 1 562 25,6 % 3 765 61,0 % 02.10.2012 HelsIT 2012 12
HEALTH CARE REFORM ORIGINAL INVESTIGATION Trends in Physician Referrals in the United States 1999-2009 Michael L. Barnett, MD; Zirui Song, BA; Bruce E. Landon, MD, MBA • Background: Physician referrals play a central role in ambulatory care in the United States; however, little is known about national trends in physician referrals over time. The objective of this study was to assess changes in the annual rate of referrals to other physicians from physician office visits in the United States from 1999 to 2009. • Methods: We analyzed nationally representative crossections of ambulatory patient visits in the United States, using a sample of 845 243 visits from the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey from 1993 to 2009, focusing on the decade from 1999 to 2009. The main outcome measures were survey-weighted estimates of the total number and percentage of visits resulting in a referral to another physician across several patient and physician characteristics • Results: From 1999 to 2009, the probability that an ambulatory visit to a physician resulted in a referral to another physician increased from 4.8% to 9.3% (P.001), a 94% increase. The absolute number of visits resulting in a physician referral increased 159% nationally during this time, from 41 million to 105 million. This trend was consistent across all subgroups examined, except for slower growth among physicians with ownership stakes in their practice (P=.02) or those with the majority of income from managed care contracts (P=.007). Changes in referral rates varied according to the principal symptoms accountin g for patients’ visits, with significant increases noted for visits to primary care physicians from patients with cardiovascular, gastrointestinal, orthopedic, dermatologic, and ear/nose/throat symptoms. • Conclusions: The percentage and absolute number of ambulatory visits resulting in a referral in the United States grew substantially from 1999 to 2009. More research is necessary to understand the contribution of rising referral rates to costs of care. • Arch Intern Med. 2012;172(2):163-170 02.10.2012 HelsIT 2012 13
Page 1 and 2: Spesialist i allmennmedisin, ph.d.
Page 3 and 4: Hva er en henvisning? • Et ønske
Page 5 and 6: Henvisningsprosessen • Portvaktfu
Page 7 and 8: Grunnlaget for prioritering: • Op
Page 9 and 10: Økning i henvisninger fra allmennl
Page 11: Henvisninger 2008-2012 30000 Diagra
Page 15 and 16: Elektronisk henvisning • Har gjor
Page 17 and 18: 02.10.2012 HelsIT 2012 17
Page 19 and 20: Den gode henvisning • «Den gode
Page 21 and 22: Forskning på henvisninger • Søk
Page 23 and 24: Fam Pract. 2011 Aug;29(4):441-7. Ep
Page 25 and 26: RESEARCH Open Access (2011 USA) Tow
Page 27 and 28: Hva fant jeg? • Kvalitativ studie
Page 29 and 30: Men: • Fastlegene ønsker struktu
Page 31 and 32: Og: • Sykehuslegene opplever at h
Page 33 and 34: Og: • Sykehuslegene opplever at h
Page 35 and 36: Muligheter nå og i fremtiden • M
Page 37: Takk for oppmerksomheten! 02.10.201

Elektronisk henvisning og kvaliteten pÃ¥ henvisningen - KITHs

Create successful ePaper yourself

Delete template?

Save as template?