Understanding How Providers and Staff Make Decisions About Where to Refer Their Patients
| Autor: | Lisa M. Kern, Evguenia Makovkina |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Primary Health Care
Attitude of Health Personnel Health Policy media_common.quotation_subject Qualitative interviews Psychological intervention Primary care 030204 cardiovascular system & hematology Payment 03 medical and health sciences 0302 clinical medicine Nursing Humans 030212 general & internal medicine Psychology Referral and Consultation Value (mathematics) Qualitative Research Specialization media_common Qualitative research |
| Zdroj: | Journal of Ambulatory Care Management. 44:21-30 |
| ISSN: | 0148-9917 |
| DOI: | 10.1097/jac.0000000000000367 |
| Popis: | Value-based payment incentivizes primary care providers (PCPs) to refer patients to specialists inside their own organization. "Outmigration" of patients to specialists in other organizations is common, yet why it occurs is not clear. We conducted qualitative interviews of PCPs, nurses, and administrative staff at primary care practices in a physician organization (PO) to determine reasons for outmigration. While participants reported that they preferred making within-PO referrals, they identified 18 barriers to within-PO referrals, which often led to patients receiving care elsewhere. Many of these barriers are potentially modifiable and could inform the design of future interventions to decrease unnecessary outmigration. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|