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Referral and Consultation Communication Between Primary Care and Specialist Physicians

Referral and Consultation Communication Between Primary Care and Specialist Physicians ORIGINAL INVESTIGATION HEALTH CARE REFORM Referral and Consultation Communication Between Primary Care and Specialist Physicians Finding Common Ground Ann S. O’Malley, MD, MPH; James D. Reschovsky, PhD Background: Communication between primary care ways” or “most of the time” received such notification. Simi- physicians (PCPs) and specialists regarding referrals and larly, 80.6% of specialists said they “always” or “most of consultations is often inadequate, with negative conse- the time” send consultation results to the referring PCP, quences for patients. We examined PCPs’ and special- but only 62.2% of PCPs said they received such informa- ists’ perceptions of communication regarding referrals and tion. Physicians who did not receive timely communica- consultations. We then identified practice characteris- tion regarding referrals and consultations were more likely tics associated with reported communication. to report that their ability to provide high-quality care was threatened. The 3 practice characteristics associated with Methods: We analyzed the nationally representative 2008 PCPs and specialists reporting communication regarding Center for Studying Health System Change Health Track- referrals and consultations were “adequate” visit time with ing Physician Survey of 4720 physicians providing at least patients, receipt of quality reports regarding patients with 20 hours per week of direct patient care. Outcome http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Referral and Consultation Communication Between Primary Care and Specialist Physicians

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Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2010.480
pmid
21220662
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION HEALTH CARE REFORM Referral and Consultation Communication Between Primary Care and Specialist Physicians Finding Common Ground Ann S. O’Malley, MD, MPH; James D. Reschovsky, PhD Background: Communication between primary care ways” or “most of the time” received such notification. Simi- physicians (PCPs) and specialists regarding referrals and larly, 80.6% of specialists said they “always” or “most of consultations is often inadequate, with negative conse- the time” send consultation results to the referring PCP, quences for patients. We examined PCPs’ and special- but only 62.2% of PCPs said they received such informa- ists’ perceptions of communication regarding referrals and tion. Physicians who did not receive timely communica- consultations. We then identified practice characteris- tion regarding referrals and consultations were more likely tics associated with reported communication. to report that their ability to provide high-quality care was threatened. The 3 practice characteristics associated with Methods: We analyzed the nationally representative 2008 PCPs and specialists reporting communication regarding Center for Studying Health System Change Health Track- referrals and consultations were “adequate” visit time with ing Physician Survey of 4720 physicians providing at least patients, receipt of quality reports regarding patients with 20 hours per week of direct patient care. Outcome

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jan 10, 2011

References