TY - JOUR
T1 - Effect of ambulatory utilization review on referrals from generalists to specialists
AU - Grimm, Cordelia T.
AU - Gomez, Arthur G.
N1 - Copyright:
Copyright 2007 Elsevier B.V., All rights reserved.
PY - 1998
Y1 - 1998
N2 - We studied whether ambulatory utilization review (UR) alters how many patients internal medicine residents refer to subspecialists, and whether the effect persists without reinforcement. We compared referral rates of residents from a firm that held UR meetings (intervention firm residents, n = 20) with those of residents from a firm that did not (control firm residents, n = 21). We then compared referral rates of 17 intervention firm residents while they were participating in UR with their rates after not participating for at least 4 weeks. Intervention firm residents submitted 30% fewer referrals than control firm residents (9% vs 13%, p = .05). However, the effect was short-lived; after 4 weeks without UR, intervention firm resident referral rates were similar to control firm referral rates.
AB - We studied whether ambulatory utilization review (UR) alters how many patients internal medicine residents refer to subspecialists, and whether the effect persists without reinforcement. We compared referral rates of residents from a firm that held UR meetings (intervention firm residents, n = 20) with those of residents from a firm that did not (control firm residents, n = 21). We then compared referral rates of 17 intervention firm residents while they were participating in UR with their rates after not participating for at least 4 weeks. Intervention firm residents submitted 30% fewer referrals than control firm residents (9% vs 13%, p = .05). However, the effect was short-lived; after 4 weeks without UR, intervention firm resident referral rates were similar to control firm referral rates.
KW - Ambulatory utilization review
KW - Internal medicine residents
KW - Referral to subspecialists
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U2 - 10.1046/j.1525-1497.1998.00232.x
DO - 10.1046/j.1525-1497.1998.00232.x
M3 - Article
C2 - 9824526
AN - SCOPUS:0031724903
VL - 13
SP - 778
EP - 780
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
SN - 0884-8734
IS - 11
ER -