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E-referrals create a logical and standardised referral template. Auto-population of clinical information ensures referrals are more clinically complete. There are also significant long term operational cost savings between electronic and paper based referrals.
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Tasks, usually performed by administrative staff such as tracking referral process and correcting errors, are PCP's responsibility in the e-consultation system. Moreover, PCPs are responsible for completing the prior work-up that the specialist requests, whereas such work was done by specialist as necessary in the paper referral system.
However, "in the private fee-for-service context, the loss of specialist income is a powerful barrier to e-referral, a barrier that might be overcome if health plans compensated specialists for the time spent handling e-referrals." [20] In Canada, the proportion of services billed under FFS from 1990 to 2010 shifted substantially. [21]
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In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request. [ 1 ] [ 2 ] Tertiary care is usually done by referral from primary or secondary medical care personnel.