Literature DB >> 28368789

Design and Implementation of a Physician Coaching Pilot to Promote Value-Based Referrals to Specialty Care.

Leah Tuzzio1, Evette J Ludman2, Eva Chang3, Lorella Palazzo4, Travis Abbott5, Edward H Wagner6, Robert J Reid7.   

Abstract

INTRODUCTION: Referral rates to specialty care from primary care physicians vary widely. To address this variability, we developed and pilot tested a peer-to-peer coaching program for primary care physicians.
OBJECTIVES: To assess the feasibility and acceptability of the coaching program, which gave physicians access to their individual-level referral data, strategies, and a forum to discuss referral decisions.
METHODS: The team designed the program using physician input and a synthesis of the literature on the determinants of referral. We conducted a single-arm observational pilot with eight physicians which made up four dyads, and conducted a qualitative evaluation.
RESULTS: Primary reasons for making referrals were clinical uncertainty and patient request. Physicians perceived doctor-to-doctor dialogue enabled mutual learning and a pathway to return joy to the practice of primary care medicine. The program helped physicians become aware of their own referral data, reasons for making referrals, and new strategies to use in their practice. Time constraints caused by large workloads were cited as a barrier both to participating in the pilot and to practicing in ways that optimize referrals. Physicians reported that the program could be sustained and spread if time for mentoring conversations was provided and/or nonfinancial incentives or compensation was offered.
CONCLUSION: This physician mentoring program aimed at reducing specialty referral rates is feasible and acceptable in primary care settings. Increasing the appropriateness of referrals has the potential to provide patient-centered care, reduce costs for the system, and improve physician satisfaction.

Entities:  

Mesh:

Year:  2017        PMID: 28368789      PMCID: PMC5378485          DOI: 10.7812/TPP/16-066

Source DB:  PubMed          Journal:  Perm J        ISSN: 1552-5767


  23 in total

1.  The first Balint group.

Authors:  J Horder
Journal:  Br J Gen Pract       Date:  2001-12       Impact factor: 5.386

2.  Referrals of adult patients from primary care: demographic disparities and their relationship to HMO insurance.

Authors:  P Franks; C M Clancy
Journal:  J Fam Pract       Date:  1997-07       Impact factor: 0.493

Review 3.  Global health and primary care research.

Authors:  John W Beasley; Barbara Starfield; Chris van Weel; Walter W Rosser; Cynthia L Haq
Journal:  J Am Board Fam Med       Date:  2007 Nov-Dec       Impact factor: 2.657

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Authors:  N S Calman; R B Hyman; W Licht
Journal:  J Fam Pract       Date:  1992-07       Impact factor: 0.493

5.  Is burnout associated with referral rates among primary care physicians in community clinics?

Authors:  Talma Kushnir; Dan Greenberg; Nir Madjar; Israel Hadari; Yuval Yermiahu; Yaacov G Bachner
Journal:  Fam Pract       Date:  2013-10-22       Impact factor: 2.267

6.  An oncology nurse navigator program designed to eliminate gaps in early cancer care.

Authors:  Kathryn Horner; Evette J Ludman; Ruth McCorkle; Ellen Canfield; Lynn Flaherty; Jennifer Min; Janice Miyoshi; Beth Lapham; Erin J Aiello Bowles; Edward H Wagner
Journal:  Clin J Oncol Nurs       Date:  2013-02       Impact factor: 1.027

7.  Case-mix and variation in specialist referrals in general practice.

Authors:  Caoimhe O Sullivan; Rumana Z Omar; Gareth Ambler; Azeem Majeed
Journal:  Br J Gen Pract       Date:  2005-07       Impact factor: 5.386

Review 8.  Dropping the baton: specialty referrals in the United States.

Authors:  Ateev Mehrotra; Christopher B Forrest; Caroline Y Lin
Journal:  Milbank Q       Date:  2011-03       Impact factor: 4.911

9.  Analysing general practitioners' referral decisions. II. Applying the analytical framework: do high and low referrers differ in factors influencing their referral decisions?

Authors:  J Bailey; N King; P Newton
Journal:  Fam Pract       Date:  1994-03       Impact factor: 2.267

10.  Physician response to patient request for unnecessary care.

Authors:  Sapna Kaul; Anne C Kirchhoff; Nancy E Morden; Christine S Vogeli; Eric G Campbell
Journal:  Am J Manag Care       Date:  2015-11       Impact factor: 2.229

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