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Related Experiment Videos

Dealing with extracontractual referrals.

J D Williamson1

  • 1Richmond, Twickenham, and Roehampton Health Authority, Queen Mary's University Hospital, London.

BMJ (Clinical Research Ed.)
|August 31, 1991
PubMed
Summary
This summary is machine-generated.

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The Richmond, Twickenham, and Roehampton Health Authority

Area of Science:

  • Health Management
  • Healthcare Policy
  • Public Health Administration

Background:

  • Extracontractual referrals present challenges in healthcare resource allocation.
  • Effective management systems are crucial for handling patient referral requests outside standard contracts.
  • The Richmond, Twickenham, and Roehampton Health Authority implemented a new system for managing these referrals.

Purpose of the Study:

  • To detail the mechanism established by the health authority for managing extracontractual referral requests.
  • To evaluate the operational effectiveness of this new system during its initial three months.
  • To analyze the types of referrals and the decision-making process.

Main Methods:

  • Descriptive analysis of the procedures for managing extracontractual referrals.

Related Experiment Videos

  • Review of decisions made on referral requests submitted between April 1 and June 30, 1991.
  • Categorization of referral types and reasons for refusal.

    • Main Results:

    • 235 requests were processed, with 79 for emergency care and 156 for elective treatments.
    • 61 elective requests were refused, 20 due to non-liability of the health authority.
    • Three-quarters of financially liable requests were approved, aligning with predicted workloads.
    • Orthopaedics, general surgery, and plastic surgery were common referral specialties.

    Conclusions:

    • Managing extracontractual referrals is complex and resource-intensive for both clinicians and administrators.
    • The system, while limiting patient choice to some extent, is necessary for financial sustainability.
    • The established mechanism appears functional in managing referral volumes within funding parameters.