Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Methods for analyzing referral patterns.

M E Cowen1, M W Zodet

  • 1St. Joseph Mercy Hospital, Ann Arbor, Mich., USA.

Journal of General Internal Medicine
|September 22, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Vasoconstrictive effects of endothelin-1, endothelin-3, and urotensin II in isolated perfused human lungs and isolated human pulmonary arteries.

Thorax·2004
Same author

Chromosomal analysis of non-small-cell lung cancer by multicolour fluorescent in situ hybridisation.

British journal of cancer·2004
Same author

Chromosomal alterations in small cell lung cancer revealed by multicolour fluorescence in situ hybridization.

International journal of cancer·2002
Same author

The impact of the duration of mechanical ventilation on the respiratory outcome in smokers undergoing cardiac surgery.

Cardiovascular surgery (London, England)·2002
Same author

An unusual combination of diaphragmatic hernias in a patient presenting with the clinical features of restrictive pulmonary disease: report of a case.

Surgery today·2002
Same author

Right ventricular needle embolus in an injecting drug user: the need for early removal.

Emergency medicine journal : EMJ·2001
Same journal

Impact of Health Insurance Coverage on Diabetes Care Quality: A Systematic Review and Meta-analysis of Racial, Ethnic, and Gender Disparities in U.S. Adults with Type 2 Diabetes.

Journal of general internal medicine·2026
Same journal

Assessment of Physician Advocacy Engagement: A Scoping Review and Proposal of an Assessment Tool.

Journal of general internal medicine·2026
Same journal

Relative Burden of Social Determinants of Health on Diverse Populations of Health Resources and Services Administration Health Centers.

Journal of general internal medicine·2026
Same journal

Addressing Moral Distress Among Gender-Affirming Healthcare Professionals.

Journal of general internal medicine·2026
Same journal

Trainee-Led Patient Education to Increase Advance Care Planning in a Geriatric Primary Care Clinic.

Journal of general internal medicine·2026
Same journal

Scholarly Outcomes of a Small Projects Grant Program.

Journal of general internal medicine·2026
See all related articles

A new method identifies patient and physician factors influencing specialty referrals. Physician age, experience, and satisfaction, along with patient diagnoses, impact referral likelihood.

Area of Science:

  • Health Services Research
  • Medical Economics
  • Clinical Decision Making

Background:

  • Specialty referrals are crucial for patient care but can be influenced by various factors.
  • Understanding these factors is essential for optimizing healthcare resource allocation and patient outcomes.
  • Previous methods for identifying referral drivers have limitations in scope and accessibility.

Purpose of the Study:

  • To develop and validate a robust methodology for identifying patient and physician characteristics that influence specialty referrals.
  • To provide a framework for healthcare organizations to analyze and understand their referral patterns.

Main Methods:

  • Retrospective analysis of medical claims data from 1996.
  • Supplemented claims data with surveys of primary care physicians within a large independent practice association.

Related Experiment Videos

  • Examined five patient cohorts (2,000-6,000 each) with conditions requiring referral to cardiology, ophthalmology, pulmonology, orthopedics, or general surgery.

    • Main Results:

    • Referral rates across cohorts varied from 1% to 7%.
    • Multivariate logistic models demonstrated good discriminatory ability (c-statistic 0.66–0.79).
    • Key predictors of referral included patient diagnoses/medications and referring physician's age, years in practice, specialty satisfaction, and diagnostic certainty.

    Conclusions:

    • The developed methodology is practical and effective for identifying referral drivers.
    • The findings offer credible insights into factors influencing specialty referrals.
    • This approach is recommended for adoption by other healthcare organizations to improve referral management.