Performance measures of the specialty referral process: a systematic review of the literature
2011

Review of Specialty Referral Measures

Sample size: 214 publication Evidence: moderate

Author Information

Author(s): James P. Guevara, Diane Hsu, Christopher B. Forrest

Primary Institution: The Children's Hospital of Philadelphia

Hypothesis

The study aims to identify published measures that assess specialty referrals.

Conclusion

There are published measures available to assess the specialty referral process, but many are limited and require new data collection.

Supporting Evidence

  • The study identified 2,964 unique articles and selected 214 papers for review.
  • Most measures were applied in adults and assessed structural elements of the referral process.
  • The majority of measures focused on referral initiation, entry into specialty care, coordination, and quality.

Takeaway

This study looked at how doctors refer patients to specialists and found many ways to measure this process, but some areas need more work.

Methodology

A systematic review of literature from MEDLINE and HealthSTAR databases to identify measures of specialty referral.

Potential Biases

Potential publication bias and reliance on new data collection methods may limit the applicability of findings.

Limitations

The review may have missed important measures due to publication bias and did not endorse a core set of measures.

Participant Demographics

The majority of measures assessed adult populations, with some focusing on children.

Digital Object Identifier (DOI)

10.1186/1472-6963-11-168

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