The Journal of Pediatrics
Volume 158, Issue 1 , Pages 24-30 , January 2011

Incomplete Specialty Referral among Children in Community Health Centers

2010 Pediatric Academic Societies Annual Meeting, Vancouver, British Columbia, Canada.

  • Katharine E. Zuckerman, MD, MPH

      Affiliations

    • Child and Adolescent Health Measurement Initiative and Division of General Pediatrics, Oregon Health and Sciences University, Portland, OR
    • Corresponding Author InformationReprint requests: Katharine E. Zuckerman, MD, MPH, Oregon Health and Science University, Child and Adolescent Health Measurement Initiative, Mail Code CDRC-P, 707 SW Gaines Street, Portland, OR 97239-2998.
    • ,
  • Xin Cai, MA

      Affiliations

    • University of Texas Southwestern Medical Center, Dallas, TX
    • ,
  • James M. Perrin, MD

      Affiliations

    • Department of Pediatrics, Center for Child and Adolescent Health Policy, MassGeneral Hospital for Children, Harvard Medical School, Boston, MA
    • ,
  • Karen Donelan, EdM ScD

      Affiliations

    • Mongan Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, MA

Received 30 December 2009 ,Revised 19 May 2010 ,Accepted 9 July 2010.

References 

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  13. Gandhi TK, Sittig DF, Franklin M, Sussman AJ, Fairchild DG, Bates DW. Communication breakdown in the outpatient referral process. J Gen Intern Med. 2000;15:626–631
  14. Calman NS, Hyman RB, Licht W. Variability in consultation rates and practitioner level of diagnostic certainty. J Fam Pract. 1992;35:31–38
  15. Forrest CB, Glade GB, Baker AE, Bocian A, von Schrader S, Starfield B. Coordination of specialty referrals and physician satisfaction with referral care. Arch Pediatr Adolesc Med. 2000;154:499–506
  16. Cartland JDC, Yudkowsky BK. Barriers to pediatric referral in managed care systems. Pediatrics. 1992;89:183–192
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  18. Flores G, Tomany-Korman SC. The language spoken at home and disparities in medical and dental health, access to care, and use of services in US children. Pediatrics. 2008;121:e1703–e1714
  19. Shenkman E, Tian L, Nackashi J, Schatz D. Managed care organization characteristics and outpatient specialty care use among children with chronic illness. Pediatrics. 2005;115:1547–1554
  20. Stille CJ, McLaughlin TJ, Primack WA, Mazor KM, Wasserman RC. Determinants and impact of generalist-specialist communication about pediatric outpatient referrals. Pediatrics. 2006;118:1341–1349
  21. Kuhlthau K, Ferris TG, Beal AC, Gortmaker SL, Perrin JM. Who cares for Medicaid-enrolled children with chronic conditions?. Pediatrics. 2001;108:906–912
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 Supported by a grant from the CRICO-Risk Management Foundation, a National Research Service Award (T32 HP10018) from the Health Resources and Services Administration, Department of Health and Human Services, to the Harvard Pediatric Health Services Research Fellowship (K.Z.). The authors declare no conflicts of interest.

PII: S0022-3476(10)00590-1

doi: 10.1016/j.jpeds.2010.07.012

The Journal of Pediatrics
Volume 158, Issue 1 , Pages 24-30 , January 2011

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