PMID: 20650025Jul 24, 2010Paper

Noncompletion of referrals to outpatient specialty clinics among patients discharged from the emergency department: a prospective cohort study

CJEM
Steven Marc FriedmanKate Hanneman

Abstract

We sought to characterize patients who are referred from the emergency department (ED) to specialty clinics but do not complete the referral, and to identify reasons for their failure to follow up. A prospective cohort study was carried out over 3 months of patients who were discharged from the ED of a teaching hospital with referral to internal medicine, cardiology or neurology clinics, but who did not complete the referral. Information on demographics, barriers to care and reasons for not completing the referral was obtained through a standardized telephone interview. Of 171 ED referrals, 42 (24.6%) were not completed. Interviews were completed for 71.4% (30 patients). Of the nonattenders, 80% were functional in English and most had high school (73.1%) or university (60.7%) education. Virtually all (93.0%) interviewees could get to hospital by themselves or have someone take them. Only 42.9% (12 patients) understood why the emergency physician (EP) requested consultation, and 42.9% (12 patients) described EP instructions as poor or fair. Primary reasons for noncompletion of consult were patient choice (46.7%, 95% confidence interval [CI] 27.1%-66.2%), physical or social barriers (13.3%, 95% CI 0.0%-27.2%), communication failu...Continue Reading

References

Sep 1, 1992·The American Journal of Emergency Medicine·R B VukmirJ Menegazzi
Jan 1, 1996·Annals of Emergency Medicine·E J ThomasT A Brennan
Jan 1, 1996·Annals of Emergency Medicine·M J Murray, C H LeBlanc
Apr 12, 2000·Journal of General Internal Medicine·J Sarver, D W Baker
Mar 5, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Gerard GallucciFlorence Hackerman
Aug 9, 2005·BMC Health Services Research·Vernon J LeeBala Krishnan
Sep 30, 2005·Journal of General Internal Medicine·Demetrios N KyriacouRegina R Nelson
Mar 16, 2007·CJEM·Collin ClarkeChristopher Culligan

❮ Previous
Next ❯

Citations

Nov 30, 2019·Emergency Medicine International·Nicholas PrudhommeVenkatesh Thiruganasambandamoorthy
Mar 9, 2018·BMC Health Services Research·David D StenehjemDiana I Brixner
Feb 21, 2014·BMC Health Services Research·Emma BrookCampbell Thompson
Oct 9, 2012·Emergency Medicine Australasia : EMA·Kevin ChungStephen P J Macdonald
Jan 14, 2017·Journal of Oncology Practice·Pat WhitworthJohnathan M Lancaster
Dec 3, 2016·Pediatric Emergency Care·Janet A CurranMegan Bourque
Dec 26, 2019·Emergency Medicine Journal : EMJ·Maia DorsettJerome R Hoffman
Jan 24, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rima Abou-ArkoubEdward G Clark
Jan 30, 2020·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Joseph K AgorPaul M McKie

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.