Patterns of referral in a Canadian primary care electronic health record database: Retrospective cross-sectional analysis

Informatics in Primary Care

Volumn 19, Issue 4, 2011, Pages 217-223

  Shadd, Joshua ^a   Ryan, Bridget L ^a   Maddocks, Heather ^a   Thind, Amardeep ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

Author keywords

Electronic health records; Referrals; Variance partitioning

Indexed keywords

ADOLESCENT; ADULT; AGE; AGED; AMBULATORY CARE; ARTICLE; CANADA; CHILD; CLINICAL PRACTICE; CROSS-SECTIONAL STUDY; ELECTRONIC MEDICAL RECORD; FEMALE; HUMAN; INFANT; MALE; MEDICINE; MIDDLE AGED; NEWBORN; PATIENT REFERRAL; PRESCHOOL CHILD; PRIMARY HEALTH CARE; RETROSPECTIVE STUDY; SEX DIFFERENCE; STATISTICS;

ADOLESCENT; ADULT; AGE FACTORS; AGED; CHILD; CHILD, PRESCHOOL; CROSS-SECTIONAL STUDIES; ELECTRONIC HEALTH RECORDS; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; MALE; MEDICINE; MIDDLE AGED; OFFICE VISITS; ONTARIO; PHYSICIAN'S PRACTICE PATTERNS; PRIMARY HEALTH CARE; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES; SEX FACTORS; YOUNG ADULT;

EID: 84864542310     PISSN: 14760320     EISSN: None     Source Type: Journal    
DOI: 10.14236/jhi.v19i4.816     Document Type: Article

References (22)

1. Chan BTB and Austin PC. Patient, physician and community factors affecting referrals to specialists in Ontario, Canada: a population-based, multi-level modeling approach. Medical Care 2003;41:500-11.
2. Hugo P, Kendrick T, Reid F and Lacey H. GP referral to an eating disorder service: why the wide variation? British Journal of General Practice 2000;50:380-3. (Pubitemid 30245617)
3. Forrest CB, Majeed A, Weiner JP, Carroll K and Bindman AB. Comparison of specialty referral rates in the United Kingdom and the United States: retrospective cohort analysis. BMJ 2002;325:370-1.
4. Forrest CB, Nutting P, Werner JJ, Starfield B, vonSchrader S and Rohde C. Managed health plan effects on the specialty referral process: results from the Ambulatory Sentinel Practice Network Referral Study. Medical Care 2003;41 (2):242-53.
5. Forrest C, Nutting PA, vonSchrader S, Rohde C and Starfield B. Primary care physician specialty referral decision making: patient, physician and health care system determinants. Medical Decision Making 2006; 26:76-85. (Pubitemid 43134130)
6. Franks P, Williams GC, Zwanziger J, Mooney C and Sorbery M. Why do physicians vary so widely in their referral rates? Journal of General Internal Medicine 2000; 15:163-8. (Pubitemid 30155348)
7. O'Donnell CA. Variation in GP referral rates: what can we learn from the literature? Family Practice 2000; 17:462-71.
8. Chen FM, Fryer GE and Norris TE. Effects of comorbidity and clustering upon referrals in primary care. Journal of the American Board of Family Practice 2005;18:449-52. (Pubitemid 41819826)
9. Cook ML, Ayanian JZ, Orav EJ and Hicks LS. Differences in specialist consultations for cardiovascular disease by race, ethnicity, gender, insurance status and site of primary care. Circulation 2009;119:2463-70.
10. Salem-Schatz S, Moore G, Rucker M and Pearson SD. The case for case-mix adjustment in practice profiling: when good apples look bad. Journal of the American Medical Association 1994;272 (11):871-4.
11. Sullivan CO, Omar RZ, Ambler G and Majeed A. Casemix and variation in specialist referrals in general practice. British Journal of General Practice 2005;55: 529-33. (Pubitemid 40903798)
12. Forrest CB and Reid RJ. Prevalence of health problems and primary care physicians' specialty referral decisions. Journal of Family Practice 2001;50:427-32. (Pubitemid 32440819)
13. Shadd J, Ryan BL, Thind A and Stewart M. Patterns of Specialty Medical Referral: analysis of a primary health care electronic record database. Final report. Government of Ontario, Ministry of Health and Long-Term Care, Primary Health Care System Program, June, 2010.
14. Morgan DL, Currie CJ, Hunt J et al. Relative activity and referral patterns for diabetes and non-diabetes in general practice. Diabetes Medicine 2000;17:230-5. (Pubitemid 30212297)
15. Mulvaney C, Coupland C, Wilson A, Hammersley V, Dyas J and Carlisle R. Does increased use of private health care reduce the demand for NHS care? A prospective survey of general practice referrals. Journal of Public Health (Oxford) 2005;27 (2):182-8. (Pubitemid 40933847)
16. Stewart M, Thind A, Terry A, Chevendra V and Marshall JN. Implementing and maintaining a researchable database from electronic medical records - a perspective from an academic family medicine department. Healthcare Policy 2009;5:26-39.
17. Statistics Canada. Postal Code Conversion File. Statistics Canada, Data Liberation Initiative: Ottawa, ON, March 2006.
18. Ontario Health Insurance Program. Health Care Provider Specialty Codes. Ministry of Health and Long-Term Care: Toronto, 2009. www.health.gov.on.ca/ English/providers/pub/ohip/tech-specific/pdf/5-7.pdf (accessed 13 January 2011).
19. PASW Statistics 17.0 (SPSS) Release 17.03. IBM Corp.: Somers, NY, 2009.
20. Stata/SE 10.0 for Windows. Stata Corp. LP, College Station, TX, 2008.
21. Forrest CB, Nutting PA, Starfield B and vonSchrader S. Family physicians' referral decisions: results from the ASPN referral study. Journal of Family Practice 2002; 51:215-22. (Pubitemid 34219683)
22. Central West Local Health Integration Network. Integrated Health Service Plan for the Central West Local Health Integration Network October 2006: Appendix C - Environmental Scan Health Human Resources Analysis. Ministry of Health and Long-Term Care: Toronto, 2006. www.centralwestlhin.on.ca/WorkArea/ showcontent.aspx?id=388 (accessed 13 January 2011).