PDF(Pubmed)
Abstract：
UNASSIGNED: The objectives of this study were to explore the rate and types of inappropriate referrals to the wellness services and to assess the impact of multi-level interventions on the rate of inappropriate referrals at Rawdat Al-Khail health center in Qatar.
UNASSIGNED: This study employed a retrospective analysis of all referrals data to Rawdat Al-Khail wellness services extracted from the Electronic Health Records (EHRs) between July 2022 and August 2023. The monthly rates and types of inappropriate referrals were calculated. In this study, pre-post analyses were performed to evaluate the impact of two sets of interventions on reducing inappropriate referral rates. The first set involved the development and distribution of e-referral pathways training manual in September 2022. The second set, implemented in April 2023, included close monitoring the rate and types of referrals, and the initiation of feedback communication between wellness services supervisors and referring physicians for advice and corrective actions.
UNASSIGNED: A total of 966 referrals were received during the study period, with 1:5 male-to-female ratio. Of all referrals, 34.9 % were classified as inappropriate, exhibiting considerable variations among different referring health centers. The most common reason for inappropriate referrals was due to the lack of \"exercise wellness gym assessment form\" (23.8 %). While interventions aimed at enhancing the referral process, they did not result in a significant overall reduction in inappropriate referral rates. However, there was a noteworthy reduction in the inappropriate referrals caused by the lack of \"exercise wellness gym assessment form\" observed from March to August 2023 (41 %-18 %).
UNASSIGNED: This study sheds light on the complexities of wellness services referrals, revealing a high rate of inappropriate referrals that require closer scrutiny. Despite interventions not significantly reducing the rate of these referrals, it emphasizes the need for ongoing improvement strategies. Structured, periodic interventions at higher levels are recommended to enhance referral appropriateness.
UNASSIGNED: This study employed a retrospective analysis of all referrals data to Rawdat Al-Khail wellness services extracted from the Electronic Health Records (EHRs) between July 2022 and August 2023. The monthly rates and types of inappropriate referrals were calculated. In this study, pre-post analyses were performed to evaluate the impact of two sets of interventions on reducing inappropriate referral rates. The first set involved the development and distribution of e-referral pathways training manual in September 2022. The second set, implemented in April 2023, included close monitoring the rate and types of referrals, and the initiation of feedback communication between wellness services supervisors and referring physicians for advice and corrective actions.
UNASSIGNED: A total of 966 referrals were received during the study period, with 1:5 male-to-female ratio. Of all referrals, 34.9 % were classified as inappropriate, exhibiting considerable variations among different referring health centers. The most common reason for inappropriate referrals was due to the lack of \"exercise wellness gym assessment form\" (23.8 %). While interventions aimed at enhancing the referral process, they did not result in a significant overall reduction in inappropriate referral rates. However, there was a noteworthy reduction in the inappropriate referrals caused by the lack of \"exercise wellness gym assessment form\" observed from March to August 2023 (41 %-18 %).
UNASSIGNED: This study sheds light on the complexities of wellness services referrals, revealing a high rate of inappropriate referrals that require closer scrutiny. Despite interventions not significantly reducing the rate of these referrals, it emphasizes the need for ongoing improvement strategies. Structured, periodic interventions at higher levels are recommended to enhance referral appropriateness.
摘要：
■本研究的目的是探讨健康服务的不适当转诊率和类型，并评估多层次干预措施对卡塔尔RawdatAl-Khail健康中心不适当转诊率的影响。
这项研究对2022年7月至2023年8月从电子健康记录（EHR）中提取的RawdatAl-Khail健康服务的所有转诊数据进行了回顾性分析。计算了每月不适当转诊的比率和类型。在这项研究中,我们进行了前后分析,以评估两组干预措施对降低不适当转诊率的影响.第一套涉及2022年9月电子转诊培训手册的开发和分发。第二套,2023年4月实施，包括密切监测转介的比率和类型，并在健康服务主管和转介医生之间进行反馈沟通，以寻求建议和纠正措施。
■在研究期间共收到966次转诊，男女比例为1:5。在所有推荐中，34.9%被归类为不适当的，在不同的转诊保健中心之间表现出相当大的差异。不适当推荐的最常见原因是由于缺乏“运动健康健身房评估表”（23.8％）。虽然旨在加强转诊过程的干预措施，它们并未导致不适当转诊率的整体显著降低.然而,从2023年3月至8月观察到，由于缺乏“运动健康健身房评估表”而导致的不适当推荐显著减少(41%-18%)。
■这项研究揭示了健康服务推荐的复杂性，揭示了不适当的推荐率很高，需要更仔细的审查。尽管干预措施并未显着降低这些转诊率，它强调需要持续的改进策略。结构化，建议在更高级别进行定期干预,以提高转诊的适当性.
这项研究对2022年7月至2023年8月从电子健康记录（EHR）中提取的RawdatAl-Khail健康服务的所有转诊数据进行了回顾性分析。计算了每月不适当转诊的比率和类型。在这项研究中,我们进行了前后分析,以评估两组干预措施对降低不适当转诊率的影响.第一套涉及2022年9月电子转诊培训手册的开发和分发。第二套,2023年4月实施，包括密切监测转介的比率和类型，并在健康服务主管和转介医生之间进行反馈沟通，以寻求建议和纠正措施。
■在研究期间共收到966次转诊，男女比例为1:5。在所有推荐中，34.9%被归类为不适当的，在不同的转诊保健中心之间表现出相当大的差异。不适当推荐的最常见原因是由于缺乏“运动健康健身房评估表”（23.8％）。虽然旨在加强转诊过程的干预措施，它们并未导致不适当转诊率的整体显著降低.然而,从2023年3月至8月观察到，由于缺乏“运动健康健身房评估表”而导致的不适当推荐显著减少(41%-18%)。
■这项研究揭示了健康服务推荐的复杂性，揭示了不适当的推荐率很高，需要更仔细的审查。尽管干预措施并未显着降低这些转诊率，它强调需要持续的改进策略。结构化，建议在更高级别进行定期干预,以提高转诊的适当性.
