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Improving quality of referral letters from primary to secondary care: a literature review and discussion paper

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dc.contributor.author Tobin-Schnittger, Patrick
dc.contributor.author O'Doherty, Jane
dc.contributor.author O'Connor, Ray
dc.contributor.author O'Regan, Andrew
dc.date.accessioned 2018-03-26T08:40:54Z
dc.date.issued 2017
dc.identifier.uri http://hdl.handle.net/10344/6679
dc.description peer-reviewed en_US
dc.description.abstract Background: Referral letters sent from primary to secondary or tertiary care are a crucial element in the continuity of patient information transfer. Internationally, the need for improvement in this area has been recognised. This aim of this study is to review the current literature pertaining to interventions that are designed to improve referral letter quality. Methods: A search strategy designed following a Problem, Intervention, Comparator,Outcomemodelwas used to explore the PubMed and EMBASE databases for relevant literature. Inclusion and exclusion criteria were established and bibliographies were screened for relevant resources. Results: A total of 18 publications were included in this study. Four types of interventions were described: electronic referrals were shown to have several advantages over paper referrals but were also found to impose new barriers; peer feedback increases letter quality and can decrease ‘inappropriate referrals’ by up to 50%; templates increase documentation and awareness of risk factors;mixed interventions combining different intervention types provide tangible improvements in content and appropriateness. Conclusion: Several methodological considerations were identified in the studies reviewed but our analysis demonstrates that a combination of interventions, introduced as part of a joint package and involving peer feedback can improve. en_US
dc.language.iso eng en_US
dc.publisher Cambridge University Press en_US
dc.relation.ispartofseries Primary Health Care Research and Development; 19 (3), pp. 211-222
dc.relation.uri http://dx.doi.org/10.1017/S1463423617000755
dc.rights Material on these pages is copyright Cambridge University Press or reproduced with permission from other copyright owners. It may be downloaded and printed for personal reference, but not otherwise copied, altered in any way or transmitted to others (unless explicitly stated otherwise) without the written permission of Cambridge University Press. Hypertext links to other Web locations are for the convenience of users and do not constitute any endorsement or authorisation by Cambridge University Press. en_US
dc.subject communication en_US
dc.subject health systems en_US
dc.subject primary care en_US
dc.subject primary–secondary care interface en_US
dc.subject quality en_US
dc.subject referral letters en_US
dc.title Improving quality of referral letters from primary to secondary care: a literature review and discussion paper en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1017/S1463423617000755
dc.date.embargoEndDate 2018-06-07
dc.embargo.terms 2018-06-07 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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