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 Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...

You might also read

Related Articles

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

Sort by
Same author

Consensus among clinicians on referrals' priority and use of digital decision-making support systems.

Health policy (Amsterdam, Netherlands)·2022
Same author

Priority and appropriateness of upper endoscopy out-patient referrals: Two-period comparison in an open-access unit.

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·2019
Same author

Gastritis staging in the endoscopic follow-up for the secondary prevention of gastric cancer: a 5-year prospective study of 1755 patients.

Gut·2018
Same author

[Immuknow and long term kidney graft].

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia·2015
Same author

Waiting time prioritisation for specialist services in Italy: the homogeneous waiting time groups approach.

Health policy (Amsterdam, Netherlands)·2014
Same author

Estimates of cancer burden in Trentino-Alto Adige.

Tumori·2013

Related Experiment Video

Updated: May 8, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Improving referral activity on primary-secondary care interface using an electronic decision support system.

Giuliano Mariotti1, Maria Gentilini, Valter Dapor

  • 1Hospital of Rovereto, LHU APSS, Corso Verona, 4, 38068 Rovereto, Italy.

International Journal of Medical Informatics
|September 11, 2013
PubMed
Summary

Electronic referral systems significantly improve agreement between primary care physicians and specialists in patient priority assignment. Implementing an electronic referral decision support system (ERSS) enhanced physician collaboration and referral accuracy.

Keywords:
Decision support systemsManagementPrimary careReferral and consultationWaiting list

Related Experiment Videos

Last Updated: May 8, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

  • Health Informatics
  • Clinical Decision Support
  • Healthcare Management

Background:

  • Primary care physicians (PCPs) and specialists often have differing opinions on patient priority.
  • Effective communication and agreement are crucial for efficient patient referral and timely care.

Purpose of the Study:

  • To assess the impact of electronic feedback and an electronic referral decision support system (ERSS) on PCP-specialist agreement in priority assignment.
  • To evaluate the effectiveness of different referral systems in improving clinical priority categorization.

Main Methods:

  • A study involving 62 PCPs comparing a paper-based manual (group 1), a computer-based tool with electronic feedback (group 2), and an ERSS (group 3).
  • Patients were categorized using 'Homogeneous Waiting Groups' (HWGs) for priority assignment.
  • Agreement was quantified using the kappa statistic.

Main Results:

  • The kappa statistic for agreement was 0.564 (group 1), 0.668 (group 2), and significantly higher at 0.883 (group 3).
  • A significant difference in agreement proportions was observed across the three groups (p<.0001).
  • The study also noted significant differences in the priority levels used by PCPs over time.

Conclusions:

  • Electronic feedback and ERSS demonstrably enhance the agreement between PCPs and specialists in referral priority assignment.
  • These systems positively impact referral activity and improve collaborative decision-making in clinical settings.