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ECRS (extra-contractual referrals). Mind the gaps.

P Johnstone1, D Grice

  • 1Buckinghamshire Health Board, England.

The Health Service Journal
|July 16, 1995
PubMed
Summary
This summary is machine-generated.

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This study reviewed adult mental health patients using the Exceptional Circumstances রোগীর (ECR) system. It found that 14% of ECR patients were either incorrectly billed or long-term cases predating the ECR system.

Area of Science:

  • Health Services Research
  • Mental Health Policy
  • Public Health Administration

Background:

  • The Exceptional Circumstances রোগীর (ECR) system facilitates patient care transfers.
  • Understanding ECR patient demographics and referral patterns is crucial for effective resource allocation.
  • Previous analyses of ECR utilization in mental health services are limited.

Purpose of the Study:

  • To identify adult mental health patients utilizing the ECR system in Buckinghamshire.
  • To analyze the characteristics and reasons for ECR referrals.
  • To assess the accuracy of ECR patient identification and billing.

Main Methods:

  • Review of Buckinghamshire HA's ECR account budget sheet (April-September 1993).
  • Exclusion of patients under 16 and those with physical disabilities.

Related Experiment Videos

  • Interviews with consultant psychiatrists using a structured questionnaire.
  • Analysis of demographic details, diagnoses, referral reasons, and care plans for ECR patients.

    • Main Results:

    • Thirty-two patients were identified via the ECR account sheet.
    • Twenty-eight patients (87.5%) were included in the analysis, known by local consultants.
    • Four patients (14%) were identified as outliers: one incorrectly billed post-return, three long-term cases predating ECR.

    Conclusions:

    • A significant minority of ECR patients may not accurately reflect current service needs or referral criteria.
    • Potential for billing inaccuracies and inclusion of pre-ECR long-term patients requires attention.
    • Refinement of ECR patient identification and management protocols is recommended.