Benefits of pre-referral preparation for rheumatology clinics

Hdl Handle:
http://hdl.handle.net/10147/303573
Title:
Benefits of pre-referral preparation for rheumatology clinics
Authors:
Murphy, CL; Sheane, B; Durcan, L; O’Shea, FD; Doran, M; Cunnane, G
Publisher:
Irish Medical Journal (IMJ)
Journal:
Irish Medical Journal (IMJ)
Issue Date:
Oct-2013
URI:
http://hdl.handle.net/10147/303573
Abstract:
Appropriate allocation of rheumatology clinic appointments depends on the information contained in referral letters. Such letters were analysed for the presence of pertinent information and a scoring system was devised to assess the quality of enclosed data. In a smaller cohort, relevant basic tests were carried out prior to the appointment. 122 referral letters were received over a 1 month period. Symptom duration was documented in (39)32%, while (64)52.5% listed medications. Only (23)17.2% indicated the urgency of the problem. Approximately (31)25% of referrers performed relevant routine investigations. Mean score out of 10 was 5.1 (range 1.5â 9). Of the 40(33%) patients with pre-appointment investigations, the clinic attendance rate and subsequent discharge rate were significantly higher than those without these tests. This study shows that comprehensive referral letters and basic investigations significantly help to prioritize appointments and facilitate earlier diagnosis and treatment for patients with rheumatic disease.
Item Type:
Article
Language:
en
Keywords:
RHEUMATIC DISORDER; HEALTH SERVICES; CLINICAL AUDIT

Full metadata record

DC FieldValue Language
dc.contributor.authorMurphy, CLen_GB
dc.contributor.authorSheane, Ben_GB
dc.contributor.authorDurcan, Len_GB
dc.contributor.authorO’Shea, FDen_GB
dc.contributor.authorDoran, Men_GB
dc.contributor.authorCunnane, Gen_GB
dc.date.accessioned2013-10-17T16:18:04Z-
dc.date.available2013-10-17T16:18:04Z-
dc.date.issued2013-10-
dc.identifier.urihttp://hdl.handle.net/10147/303573-
dc.description.abstractAppropriate allocation of rheumatology clinic appointments depends on the information contained in referral letters. Such letters were analysed for the presence of pertinent information and a scoring system was devised to assess the quality of enclosed data. In a smaller cohort, relevant basic tests were carried out prior to the appointment. 122 referral letters were received over a 1 month period. Symptom duration was documented in (39)32%, while (64)52.5% listed medications. Only (23)17.2% indicated the urgency of the problem. Approximately (31)25% of referrers performed relevant routine investigations. Mean score out of 10 was 5.1 (range 1.5â 9). Of the 40(33%) patients with pre-appointment investigations, the clinic attendance rate and subsequent discharge rate were significantly higher than those without these tests. This study shows that comprehensive referral letters and basic investigations significantly help to prioritize appointments and facilitate earlier diagnosis and treatment for patients with rheumatic disease.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journal (IMJ)en_GB
dc.subjectRHEUMATIC DISORDERen_GB
dc.subjectHEALTH SERVICESen_GB
dc.subjectCLINICAL AUDITen_GB
dc.titleBenefits of pre-referral preparation for rheumatology clinicsen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journal (IMJ)en_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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