Effects of comorbidity and clustering upon referrals in primary care

Journal of the American Board of Family Practice

Volumn 18, Issue 6, 2005, Pages 449-452

  Chen, Frederick M ^a   Fryer Jr , George E ^b   Norris, Thomas E ^a  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COMORBIDITY; CONTROLLED STUDY; FEMALE; GROUPS BY AGE; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTPATIENT DEPARTMENT; PATIENT ATTITUDE; PATIENT REFERRAL; PHYSICIAN; PRIMARY MEDICAL CARE; SEX DIFFERENCE;

EID: 29244464688     PISSN: 08938652     EISSN: 15448770     Source Type: Journal    
DOI: 10.3122/jabfm.18.6.449     Document Type: Article

References (23)

1. Nutting P, Franks P, Clancy C. Referral and consultation in primary care: do we understand what we're doing? J Fam Pract 1992;35:21-3.
2. Ludke RL. An examination of the factors that influence patient referral decisions. Med Care 1982;20:782-96.
3. Henley ES. An analysis of referrals and referral rates. Hosp Health Serv Adm 1985;30:120-9.
4. Salem-Schatz S, Moore G, Rucker M, Pearson S. The case for case-mix adjustment in practice profiling. JAMA 1994;272:871-4.
5. Shea D, Stuart B, Vasey J, Nag S. Medicare physician referral patterns. Health Serv Res 1999;34:331-48.
6. Lawler FH. Referral rates of senior family practice residents in an ambulatory care clinic. J Med Educ 1987;62:177-82.
7. Coulter A, Noone A, Goldacre M. General practitioners' referrals to specialist outpatient clinics. Br Med J 1989;299:304-8.
8. Brock C. Consultation and referral patterns of family physicians. J Fam Pract 1977;4:1129-37.
9. Bachman KH, Freeborn DK. HMO physicians' use of referrals. Soc Sci Med. 1999;48:547-57.
10. Franks P, Clancy C. Referrals of adult patients from primary care: demographic disparities and their relationship to HMO insurance. J Fam Pract 1997;45:47-53.
11. Franks P, Zwanziger J, Mooney C, Sorbero M. Variations in primary care physician referral rates. Health Serv Res 1999;34:323-9.
12. Forrest CB, Nutting PA, Starfield B, von Schrader S. Family physicians' referral decisions: results from the ASPN referral study. J Fam Pract 2002;51:215-22.
13. Calman N, Hyman R, Licht W. Variability in consultation rates and practitioner level of diagnostic certainty. J Fam Pract 1992;35:31-8.
14. Chan BT, Austin PC. Patient, physician, and community factors affecting referrals to specialists in Ontario, Canada: a population-based, multi-level modelling approach. Med Care 2003;41:500-11.
15. Forrest CB, Nutting P, Werner JJ, Starfield B, von Schrader S, Rohde C. Managed health plan effects on the specialty referral process: results from the Ambulatory Sentinel Practice Network referral study. Med Care 2003;41:242-53.
16. Zyzanski SJ, Flocke SA, Dickinson LM. On the nature and analysis of clustered data. Ann Fam Med 2004;2:199-200.
17. Killip S, Mahfoud Z, Pearce K. What is an intracluster correlation coefficient? Crucial concepts for primary care researchers. Ann Fam Med 2004;2:204-8.
18. Diez Roux AV. Investigating neighborhood and area effects on health. Am J Public Health. 2001;91:1783-9.
19. Diez-Roux AV. Bringing context back into epidemiology: variables and fallacies in multilevel analysis. Am J Public Health. 1998;88:216-22.
20. Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc 1973;51:95-124.
21. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 1995;36:1-10.
22. Johns Hopkins University ACG Case Mix Adjustment System [computer program]. Version 6.0. Baltimore, MD: Johns Hopkins University School of Hygiene and Public Health; 2000.
23. Starfield B, Lemke KW, Herbert R, Pavlovich WD, Anderson G. Comorbidity and the use of primary care and specialist care in the elderly. Ann Fam Med 2005;3:215-22.