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You searched for subject:(Referral Letters). Showing records 1 – 3 of 3 total matches.

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Stellenbosch University

1. Odufuwa, Oluwatoyin Aliu. Referral of patients between Primary and Secondary levels of health care in the Port Elizabeth Metropole.

Degree: Interdisciplinary Health Sciences, 2010, Stellenbosch University

Research report (MMed)  – Interdisciplinary Health Sciences, Stellenbosch, 2010.

ENGLISH ABSTRACT: Background The referral system is an important component of the health care system. In public health facilities, a high number of patients’ attendance has lead to a huge burden on the secondary and tertiary level of the care system in terms of manpower, equipments and resources. Public health in South Africa consumes around 11% of the government's total budget. The state contributes about 40% of all expenditure on health; the public health sector is under pressure to deliver services to about 80% of the population. Despite the huge spending on health care in most developing countries, health outcomes and services remain poor. Few studies are available to give insights into reasons for this disparity. Therefore the findings of this may help to explain some of the reasons for this overburden of public health facilities and further to make recommendations on how health service delivery may be improve on. The results of this study can be useful in future planning; this may lead to a reduction in huge health expenditure incurred by most developing countries. Methods A cross sectional survey of three different groups of people which comprises of 273 patients, 28 referral centre participants and 19 referring centre participants was carried out. All patients referred from Motherwell community health centre to Dora Nginza hospital were eligible for the study. Questionnaires were interview administered to patients after they had finished consultations in Dora Nginza Hospital. Health professionals from both facilities were also interviewed with the use of self administered questionnaires. Results Three out of every four patients interviewed were of the opinion that their referral to hospital was appropriate which is consistent with the results from referring health professionals, eighteen of nineteen respondents. However, only one-quarter (7) of the referral centre health professionals felt the referrals from referring centre to hospital were appropriate p<0.01.The majority of the patients were satisfied with the level of service received at the referral centre. 77% (210) reported that the staff at the referral centre was friendly and 84% (230) were happy with the explanation given for their illness. However, a source of concern is that, in most of the referred patients 58% (215), there was no formal response back to their primary care. In the referring centre, participants identified transportation of patients to referral centre as the major problem encountered when referring patients 68 % (13), whereas 32 % (6) felt it is communication. In addition, 73 % (14) were of the opinion that transportation was inadequate and 89 % (17) reported the response rate of transport was unsatisfactory. In the referral centre, results showed participants were more concerned about the adequacy of information provided in the referral letters with 78% (22) reporting they were often not adequate information on the referral letters. However, half…

Advisors/Committee Members: Pather, Michael, University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences.

Subjects/Keywords: health professionals; primary care; referral letters; referral centres

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Odufuwa, O. A. (2010). Referral of patients between Primary and Secondary levels of health care in the Port Elizabeth Metropole. (Thesis). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/20454

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Odufuwa, Oluwatoyin Aliu. “Referral of patients between Primary and Secondary levels of health care in the Port Elizabeth Metropole.” 2010. Thesis, Stellenbosch University. Accessed September 23, 2019. http://hdl.handle.net/10019.1/20454.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Odufuwa, Oluwatoyin Aliu. “Referral of patients between Primary and Secondary levels of health care in the Port Elizabeth Metropole.” 2010. Web. 23 Sep 2019.

Vancouver:

Odufuwa OA. Referral of patients between Primary and Secondary levels of health care in the Port Elizabeth Metropole. [Internet] [Thesis]. Stellenbosch University; 2010. [cited 2019 Sep 23]. Available from: http://hdl.handle.net/10019.1/20454.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Odufuwa OA. Referral of patients between Primary and Secondary levels of health care in the Port Elizabeth Metropole. [Thesis]. Stellenbosch University; 2010. Available from: http://hdl.handle.net/10019.1/20454

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation


University of Kentucky

2. Brown, Holly. BLESSING OR BS? EXAMINING THE THERAPY EXPERIENCES OF TRANSGENDER AND GENDER NONCONFORMING CLIENTS OBTAINING REFERRAL LETTERS FOR GENDER AFFIRMING MEDICAL TREATMENT.

Degree: 2018, University of Kentucky

Transgender and gender nonconforming (TGNC) people who pursue gender affirming medical interventions, such as hormone therapy and surgery, are required to supply their physicians with referral letters from mental health professionals (Coleman et al., 2012). The process by which TGNC people are required to obtain referral letters before accessing gender affirming care is often referred to as gatekeeping in the TGNC literature (Budge, 2015; Cavanaugh, Hopwood, & Lambert, 2016). Despite implications that the current gatekeeping system may have for the relationship between TGNC clients and their therapists, few studies have examined TGNC individuals’ experiences related to obtaining referral letters in therapy (Bess & Stabb, 2009; Elder, 2016). This study used semi-structured interviews and a grounded theory approach to qualitatively examine the experiences of 15 TGNC individuals who have obtained a referral letter for gender affirming medical intervention from their therapists. Thematic analysis revealed two core themes: (1) “blessings” that TGNC individuals experienced because of the referral letter requirement and (2) “bullsh*t” (or “BS”) participants endured due to this requirement. Implications for psychotherapy practice and training, as well as healthcare policy, are discussed.

Subjects/Keywords: Transgender; TGNC; Gatekeeping; Referral Letters; Letters of Support; Therapeutic Relationship; Counseling Psychology

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Brown, H. (2018). BLESSING OR BS? EXAMINING THE THERAPY EXPERIENCES OF TRANSGENDER AND GENDER NONCONFORMING CLIENTS OBTAINING REFERRAL LETTERS FOR GENDER AFFIRMING MEDICAL TREATMENT. (Doctoral Dissertation). University of Kentucky. Retrieved from https://uknowledge.uky.edu/edp_etds/79

Chicago Manual of Style (16th Edition):

Brown, Holly. “BLESSING OR BS? EXAMINING THE THERAPY EXPERIENCES OF TRANSGENDER AND GENDER NONCONFORMING CLIENTS OBTAINING REFERRAL LETTERS FOR GENDER AFFIRMING MEDICAL TREATMENT.” 2018. Doctoral Dissertation, University of Kentucky. Accessed September 23, 2019. https://uknowledge.uky.edu/edp_etds/79.

MLA Handbook (7th Edition):

Brown, Holly. “BLESSING OR BS? EXAMINING THE THERAPY EXPERIENCES OF TRANSGENDER AND GENDER NONCONFORMING CLIENTS OBTAINING REFERRAL LETTERS FOR GENDER AFFIRMING MEDICAL TREATMENT.” 2018. Web. 23 Sep 2019.

Vancouver:

Brown H. BLESSING OR BS? EXAMINING THE THERAPY EXPERIENCES OF TRANSGENDER AND GENDER NONCONFORMING CLIENTS OBTAINING REFERRAL LETTERS FOR GENDER AFFIRMING MEDICAL TREATMENT. [Internet] [Doctoral dissertation]. University of Kentucky; 2018. [cited 2019 Sep 23]. Available from: https://uknowledge.uky.edu/edp_etds/79.

Council of Science Editors:

Brown H. BLESSING OR BS? EXAMINING THE THERAPY EXPERIENCES OF TRANSGENDER AND GENDER NONCONFORMING CLIENTS OBTAINING REFERRAL LETTERS FOR GENDER AFFIRMING MEDICAL TREATMENT. [Doctoral Dissertation]. University of Kentucky; 2018. Available from: https://uknowledge.uky.edu/edp_etds/79

3. Motter, Asha A. Analysis of The Ohio State University College of Optometry Clinical Referral Process.

Degree: MS, Vision Science, 2014, The Ohio State University

Purpose: To analyze the effectiveness of the clinical referral process at The Ohio State University College of Optometry (OSUCO). This study should foster better understanding of factors that affect patient attendance at referral appointments as well as to identify clinical practices that will promote improved health care delivery.Method: Fifty records of patients referred from the College of Optometry to a specialist were identified and the data collected. In addition one hundred records were selected for the subsequent study. Subsequent study subjects were interviewed regarding patient’s perceptions of the effectiveness of the referral process. Calculations were performed to determine the probability of associations between each referral process and factors that may have had an effect on patient’s attendance at their referral appointment.Results: Pilot study results indicated it was feasible to obtain referral data from the OSUCO electronic health records and that further study could be considered. In addition the Pilot study did not reveal significant associations between referral processes and attendance at the referral appointment. Subsequent study results found that scheduling of the referral appointment increased with “Letter and Phone Call” referral communications. Caucasian patients were more likely to be referred using “Letter Only” referral communications when compared to other ethnicities. The Binocular Vision Clinic and Low Vision clinic were also more likely to use” Letter Only” referral communicationswhen referring patients. Subsequent study results also found that patients who were referred with “Letter and Phone Call” referral communications had a statistically significant association with positive attendance at the referral appointment.Conclusions: The “Letter and Phone Call” referral communication method resulted in an increase in the patient attendance when compared to the “Letter Only” referral communication method. This difference, however, was not clinically meaningful because the 21.75% difference between the two methods did not meet the pre-set 50% threshold for a clinically meaningful difference. These results suggest that current OSUCO clinical practices are effective in ushering patients towards successful attendance of their referral appointments. It is quite possible that there are unstudied factors that may also affect successful attendance. Future investigations, can elaborate the hierarchy of those factors Advisors/Committee Members: Davis, Jacqueline (Advisor).

Subjects/Keywords: Health Care; Health Care Management; Clinical Referral; Referral Communications; Referral Letters

…straightforward or complex. Referral letters are also helpful as effective tools to educate both the… …Koritsas, 2005). 19 2.9 The Standard of Referral Letters Communication between health care… …providers occurs in various ways including telephone, informal conversations and referral letters… …Currently the practice of writing referral letters is the most common mode of communication… …referral letters should adhere. In one study, findings from a literature review developed a set… 

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Motter, A. A. (2014). Analysis of The Ohio State University College of Optometry Clinical Referral Process. (Masters Thesis). The Ohio State University. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=osu1406222877

Chicago Manual of Style (16th Edition):

Motter, Asha A. “Analysis of The Ohio State University College of Optometry Clinical Referral Process.” 2014. Masters Thesis, The Ohio State University. Accessed September 23, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1406222877.

MLA Handbook (7th Edition):

Motter, Asha A. “Analysis of The Ohio State University College of Optometry Clinical Referral Process.” 2014. Web. 23 Sep 2019.

Vancouver:

Motter AA. Analysis of The Ohio State University College of Optometry Clinical Referral Process. [Internet] [Masters thesis]. The Ohio State University; 2014. [cited 2019 Sep 23]. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=osu1406222877.

Council of Science Editors:

Motter AA. Analysis of The Ohio State University College of Optometry Clinical Referral Process. [Masters Thesis]. The Ohio State University; 2014. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=osu1406222877

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