The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals
<h3>Objectives </h3><p dir="ltr">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 cent...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | |
| منشور في: |
2024
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| الموضوعات: | |
| الوسوم: |
إضافة وسم
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| _version_ | 1864513556396900352 |
|---|---|
| author | Sarah Musa (12269578) |
| author2 | Sami Abdeen (14779537) |
| author2_role | author |
| author_facet | Sarah Musa (12269578) Sami Abdeen (14779537) |
| author_role | author |
| dc.creator.none.fl_str_mv | Sarah Musa (12269578) Sami Abdeen (14779537) |
| dc.date.none.fl_str_mv | 2024-05-20T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.heliyon.2024.e31356 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_nature_of_inappropriate_referrals_to_wellness_services_in_primary_care_setting_in_Qatar_Outcome_of_multifaced_interventions_on_rate_and_quality_of_referrals/27108907 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Health sciences Health services and systems Public health Cardiovascular Physical activity Qatar Referrals Risk level Template Wellness |
| dc.title.none.fl_str_mv | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Objectives </h3><p dir="ltr">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. </p><h3>Methods </h3><p dir="ltr">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. </p><h3>Results </h3><p dir="ltr">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%). </p><h3>Conclusion </h3><p dir="ltr">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.</p><h2>Other Information</h2><p dir="ltr">Published in: Heliyon<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.heliyon.2024.e31356" target="_blank">https://dx.doi.org/10.1016/j.heliyon.2024.e31356</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_826e9b20b64ec4e5c34afbb206f47412 |
| identifier_str_mv | 10.1016/j.heliyon.2024.e31356 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/27108907 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referralsSarah Musa (12269578)Sami Abdeen (14779537)Biomedical and clinical sciencesCardiovascular medicine and haematologyHealth sciencesHealth services and systemsPublic healthCardiovascularPhysical activityQatarReferralsRisk levelTemplateWellness<h3>Objectives </h3><p dir="ltr">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. </p><h3>Methods </h3><p dir="ltr">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. </p><h3>Results </h3><p dir="ltr">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%). </p><h3>Conclusion </h3><p dir="ltr">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.</p><h2>Other Information</h2><p dir="ltr">Published in: Heliyon<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.heliyon.2024.e31356" target="_blank">https://dx.doi.org/10.1016/j.heliyon.2024.e31356</a></p>2024-05-20T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.heliyon.2024.e31356https://figshare.com/articles/journal_contribution/The_nature_of_inappropriate_referrals_to_wellness_services_in_primary_care_setting_in_Qatar_Outcome_of_multifaced_interventions_on_rate_and_quality_of_referrals/27108907CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/271089072024-05-20T09:00:00Z |
| spellingShingle | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals Sarah Musa (12269578) Biomedical and clinical sciences Cardiovascular medicine and haematology Health sciences Health services and systems Public health Cardiovascular Physical activity Qatar Referrals Risk level Template Wellness |
| status_str | publishedVersion |
| title | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals |
| title_full | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals |
| title_fullStr | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals |
| title_full_unstemmed | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals |
| title_short | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals |
| title_sort | The nature of inappropriate referrals to wellness services in primary care setting in Qatar: Outcome of multifaced interventions on rate and quality of referrals |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Health sciences Health services and systems Public health Cardiovascular Physical activity Qatar Referrals Risk level Template Wellness |