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Managing the interface between primary-care provider and specialist
1InterQual, Inc., Marlborough, MA, USA.
The Journal of Cardiovascular Management : the Official Journal of the American College of Cardiovascular Administrators
|February 6, 1997
Abstract:
Confusion abounds regarding what constitutes a minimum standard of primary-care management and when it is appropriate to refer. Regardless of the cost-containment methods employed, financial-incentive models applied in the absence of clinical appropriateness criteria may result in implicit rationing of healthcare services. Software-embedded clinical criteria are essential in these changing times.