Volume 26, Issue 3 (1-2024)                   jha 2024, 26(3): 102-127 | Back to browse issues page


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Pourasghari H, Nouri M, Mokhtari-Payam M, Rezapour A, nazari ardabili H, Samei B et al . Scoping Review of Various Aspects of Electronic Referral Systems within Family Medicine Programs across Different Countries. jha 2024; 26 (3) :102-127
URL: http://jha.iums.ac.ir/article-1-4405-en.html
1- Associate Professor, Hospital Management Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran
2- Ph.D., School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz
3- Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran
4- Professor, Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran
5- 5M.Sc. Student, School of Management and Medical Informatics, Mashhad University of Medical Sciences, Mashhad
6- M.Sc., School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz
7- Ph.D. Student, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan , mis.amuzadeh@gmail.com
Abstract:   (794 Views)
Introduction: In recent years, the adoption of electronic referral systems has accelerated worldwide, driven by advances in information technology and communication infrastructure. This study aims to conduct a comprehensive review of the diverse dimensions of electronic referral systems across different countries.
Methods: This review was conducted using the Arksey and O'Malley framework. We gathered information without time limitations by searching for relevant keywords in databases such as PubMed, Scopus, Web of Science, SID, MagIran, and Google Scholar search engine. Manual searches were also performed in selected journals. Endnote X8 software was used for data management. Analysis was conducted through manual thematic analysis.
Results: From a total of 4,372 articles and reports, finally, 20 articles were included in this review. The findings were organized into eight primary domains encompassing 51 subcategories. These domains included economic aspects, service quality improvement, enhancement of referral quantity, improved access, increased satisfaction among healthcare providers and recipients, barriers and challenges, the referral process, and facilitators.
Conclusion: The implementation of electronic referral systems has led to positive outcomes, including improved economic efficiency, enhanced quantity and quality of referrals, higher satisfaction levels among healthcare providers and recipients, improved access to care, and streamlined referral processes. Middle-low incomes countries have the opportunity to design and implement electronic referral systems tailored to their specific conditions and capabilities.
Full-Text [PDF 2101 kb]   (263 Downloads)    
Type of Study: Review | Subject: Health Information Management
Received: 2023/06/22 | Accepted: 2023/09/20 | Published: 2024/06/24

References
1. Newman LA. The health care system as a social determinant of health: qualitative insights from south australian maternity consumers. Aust Health Rev. 2009; 33(1): 62-71. doi:10.1071/ah090062. [DOI:10.1071/AH090062]
2. Raminashvili D, Gvanceladze T, Kajrishvili M, Zarnadze I, Zarnadze S. Social environment, bases social markers and health care system in Shida Kartli Region. Georgian Med News. 2009; 175: 68-70.
3. Derakhshani N, Doshmangir L, Ahmadi A, Fakhri A, Sadeghi-Bazargani H, Gordeev VS. Monitoring process barriers and enablers towards universal health coverage within the sustainable development goals: a systematic review and content analysis. Clin Outcomes Res. 2020; 12: 459-72. doi:10.2147/CEOR.S254946. [DOI:10.2147/CEOR.S254946]
4. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005; 83(3): 457-502. doi: 10.1111/j.1468-0009.2005.00409.x [DOI:10.1111/j.1468-0009.2005.00409.x]
5. Sarabi Asiabar A, Azami-Aghdash S, Rezapour A, Alaei Kalajahi R, Taghizadeh S, Amuzadeh S, et al. Economic consequences of outsourcing in public hospitals in Iran: a systematic review. Journal of Health Administartion. 2021; 24(1): 68-83. doi:10.52547/jha.24.1.68. [In Persian]. [DOI:10.52547/jha.24.1.68]
6. Tajari F, Mahmoudi G, Dabbaghi F, Safikhani H. Key factors in the success of an electronic patient referral system in the family physician programme: what can we do for the future? Fam Med Prim Care Rev. 2023; 25(1):73-9. doi:10.5114/fmpcr.2023.125496. [DOI:10.5114/fmpcr.2023.125496]
7. Derakhshani N, Maleki M, Pourasghari H, Azami-Aghdash S. The influential factors for achieving universal health coverage in Iran: a multimethod study. BMC Health Serv Res. 2021; 21:724. doi:10.1186/s12913-021-06673-0. [DOI:10.1186/s12913-021-06673-0]
8. Koohpayehzadeh J, Azami-Aghdash S, Derakhshani N, Rezapour A, Alaei Kalajahi R, Sajjadi Khasraghi J, et al. Best practices in achieving universal health coverage: a scoping review. Med J Islam Repub Iran. 2021;35:191. doi:10.47176/mjiri.35.191. [DOI:10.47176/mjiri.35.191]
9. Pedersen KM, Andersen JS, Søndergaard J. General practice and primary health care in Denmark. J Am Board Fam Med. 2012; 25(1): S34-8. doi:10.3122/jabfm.2012.02.110216. [DOI:10.3122/jabfm.2012.02.110216]
10. Van Weel C. Primary health care and family medicine at the core of health care: challenges and priorities in how to further strengthen their potential. Front Med. 2014;1:37. doi:10.3389/fmed.2014.00037. [DOI:10.3389/fmed.2014.00037]
11. Hyseni K, Lenjani B, Gashi N, Bunjaku I, Karemani N. Structural changes in primary health care for the implementation of the concept of family medicine. Gen Med (Los Angel). 2013;2(1):1000128. doi:10.4172/2327-5146.1000128 [DOI:10.4172/2327-5146.1000128]
12. Rawaf S, Allen L, Dubois E, Majeed A, Myrup A, Raheem M, et al. Primary health care: closing the gap between public health and primary care through integration. World Health Organization. 2018; 49: 1-20.doi:10.13140/RG.2.2.31725.44000
13. Cortez LR, Guerra EC, da Silveira NJD, Noro LRA. The retention of physicians to primary health care in Brazil: motivation and limitations from a qualitative perspective. BMC Health Serv Res. 2019; 19:57. doi:10.1186/s12913-018-3813-3. [DOI:10.1186/s12913-018-3813-3]
14. Almaspoor Khanghah H, Derakhshani N. A review of factors influencing health inequalities. Depiction of Health. 2015; 6(3): 54-62. doi:10.17795/jhealthscope-34459 [DOI:10.17795/jhealthscope-34459]
15. Chaman R, Amiri M, Dehaghi MR. The national family physician and the quality of referral system. Payesh (Health Monitor). 2012;11(6):785-90.
16. Mehtarpour M, Tajvar M. Policy analysis of family physician plan and referral system in Iran using policy analysis triangle framework. J Health Based Res. 2018; 4(1): 31-49.
17. Tajari F, Mahmoudi G, Dabbaghi F, Yazdani-Charati J. Effective factors in the establishment and implementation of patient rlectronic referral system in the healthcare system: a qualitative study. Iran J Health Sci. 2021; 9(3): 23-34. doi:10.18502/jhs.v9i3.7311. [DOI:10.18502/jhs.v9i3.7311]
18. Naseriasl M, Adham D, Janati A. E-referral solutions: successful experiences, key features and challenges-a systematic review. Materia Socio-Medica. 2015; 27(3): 195-9. doi:10.5455/msm.2015.27.195-199. [DOI:10.5455/msm.2015.27.195-199]
19. Tian L. Improving knowledge management between primary and secondary healthcare: an e-referral project. Health Care Inform Rev Online. 2011; 15(1): 31-7.
20. Vidal-Alaball J, Franch-Parella J, Lopez Seguí F, Garcia Cuyàs F, Mendioroz Peña J. Impact of a telemedicine program on the reduction in the emission of atmospheric pollutants and journeys by road. Int J Environ Res Public Health. 2019; 16(22): 4366. doi:10.3390/ijerph16224366. [DOI:10.3390/ijerph16224366]
21. Harno K, Paavola T, Carlson C, Viikinkoski P. Patient referral by telemedicine: effectiveness and cost analysis of an Intranet system. J Telemed Telecare. 2000; 6(6): 320-9. doi:10.1258/1357633001935996. [DOI:10.1258/1357633001935996]
22. Where did the implementation of the "electronic referral system" come from? Salamat News. 2020. Available from: http://www.salamatnews.com/news/270433/. [In Persian].
23. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018; 169(7): 467-73. doi:10.7326/M18-0850. [DOI:10.7326/M18-0850]
24. Pope C, Ziebland S, Mays N. Analysing qualitative data. BMJ. 2000; 320(7227):114-6. doi:10.1136/bmj.320.7227.114. [DOI:10.1136/bmj.320.7227.114]
25. Harno K, Arajärvi E, Paavola T, Carlson C, Viikinkoski P. Clinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics. J Telemed Telecare. 2001; 7(4): 219-25. doi:10.1258/1357633011936435. [DOI:10.1258/1357633011936435]
26. Bell D, Straus S, Wu S, Chen A, Kushel M. Use of an electronic referral system to improve the outpatient primary care-specialty interface: final report. Agency for Healthcare Research and Quality. 2012. Available from: https://digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care
27. Cannaby S, Westcott D, Pedersen CD, Voss H, Wanscher CE. The cost benefit of electronic patient referrals in Denmark: summary report. Stud Health Technol Inform. 2004; 100: 238-45.
28. Bouamrane MM, Mair FS. A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. BMC Med Inform Decis Mak. 2014;14:30. doi:10.1186/1472-6947-14-30. [DOI:10.1186/1472-6947-14-30]
29. Reponen J, Marttila E, Paajanen H, Turula A. Extending a multimedia medical record to a regional service with electronic referral and discharge letters. J Telemed Telecare. 2004;10(1): 81-3. doi:10.1258/1357633042614276. [DOI:10.1258/1357633042614276]
30. Barnett ML, Mehrotra A, Frolkis JP, Spinks M, Steiger C, Hehir B, et al. Implementation science workshop: implementation of an electronic referral system in a large academic medical center. J Gen Intern Med. 2016; 31(3): 343-52. doi:10.1007/s11606-015-3516-y. [DOI:10.1007/s11606-015-3516-y]
31. Kennedy AM, Aziz A, Khalid S, Hurman D. Do GP referral guidelines really work? audit of an electronic urgent referral system for suspected head and neck cancer. Eur Arch Otorhinolaryngol. 2012; 269(5): 1509-12. doi:10.1007/s00405-011-1788-3. [DOI:10.1007/s00405-011-1788-3]
32. Scheibe MM, Imboden JB, Schmajuk G, Margaretten M, Graf JD, Chen AH, et al. Efficiency gains for rheumatology consultation using a novel electronic referral system in a safety-net health setting. Arthritis Care Res. 2015; 67(8):1158-63. doi:10.1002/acr.22559. [DOI:10.1002/acr.22559]
33. Doumouras AG, Anvari S, Breau R, Anvari M, Hong D, Gmora S. The effect of an online referral system on referrals to bariatric surgery. Surg Endosc. 2017; 31(12): 5127-34. doi:10.1007/s00464-017-5578-x. [DOI:10.1007/s00464-017-5578-x]
34. Hughes CA, Allen P, Bentley M. eReferrals: why are we still faxing?. Aust J Gen Pract. 2018; 47(1-2):50-7. doi:10.31128/AFP-07-17-4285. [DOI:10.31128/AFP-07-17-4285]
35. Tuot DS, Leeds K, Murphy EJ, Sarkar U, Lyles CR, Mekonnen T, et al. Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations. BMC Health Serv Res. 2015;15:568. doi:10.1186/s12913-015-1233-1 [DOI:10.1186/s12913-015-1233-1]
36. Straus SG, Chen AH, Yee H Jr, Kushel MB, Bell DS. Implementation of an electronic referral system for outpatient specialty care. AMIA Annu Symp Proc. 2011;2011:1337-46.
37. Khan AA, Mustafa MZ, Sanders R. Improving patient access to prevent sight loss: ophthalmic electronic referrals and communication (Scotland). Public Health. 2015; 129(2): 117-23. doi:10.1016/j.puhe.2014.10.010. [DOI:10.1016/j.puhe.2014.10.010]
38. Kim Y, Chen A. H, Keith E, Yee H F Jr, Kushel MB. Not perfect, but better: primary care providers' experiences with electronic referrals in a safety net health system. Journal of general internal medicine. 2009; 24(5): 614-619, doi:10.1007/s11606-009-0955-3. [DOI:10.1007/s11606-009-0955-3]
39. Corwin P. Bolter T. The effects of audit and feedback and electronic referrals on the quality of primary care referral letters. J Prim Health Care. 2014; 6, 324-327. [DOI:10.1071/HC14324]
40. Hill H, Birch S, Tickle M, Petty I, Goldthorpe J. An eReferral management & triage system for minor oral surgery referrals from primary care dentists: a cost-effectiveness evaluation. BMC Health Serv Res. 2021; 21:781. doi:10.1186/s12913-021-06775-9. [DOI:10.1186/s12913-021-06775-9]
41. Kim-Hwang JE, Chen AH, Bell DS, Guzman D, Yee HF Jr, Kushel MB. Evaluating electronic referrals for specialty care at a public hospital. J Gen Intern Med. 2010; 25(10):1123-8. doi:10.1007/s11606-010-1402-1. [DOI:10.1007/s11606-010-1402-1]
42. Scott, K. The Swansea electronic referrals project. J Telemed Telecare. 2009; 15(3), 156-158, doi:10.1258/jtt.2009.003016. [DOI:10.1258/jtt.2009.003016]
43. Chambers EC, Wylie-Rosett J, Blank AE, Ouziel J, Hollingsworth N, Riley RW, et al. Increasing referrals to a YMCA-based diabetes prevention program: effects of electronic referral system modification and provider education in federally qualified health centers. Prev Chronic Dis. 2015; 12: e189. doi:10.5888/pcd12.150294. [DOI:10.5888/pcd12.150294]
44. Daniels N, Bryant J, Castano R, Dantes O, Khan K, Pannarunothai S. Benchmarks of fairness for health care reform: a policy tool for developing countries. Bull World Health Organ. 2000; 78(6): 740-50.
45. Lapão LV. The challenge of benchmarking health systems: is ICT innovation capacity more systemic than organizational dependent?. Isr J Health Policy Res. 2015;4:1. doi:10.1186/s13584-015-0036-5. [DOI:10.1186/s13584-015-0036-5]
46. Wollum A, Burstein R, Fullman N, Dwyer-Lindgren L, Gakidou E. Benchmarking health system performance across states in Nigeria: a systematic analysis of levels and trends in key maternal and child health interventions and outcomes, 2000-2013. BMC Med. 2015; 13: 208. doi:10.1186/s12916-015-0438-9. [DOI:10.1186/s12916-015-0438-9]
47. DesRoches CM, Campbell EG, Rao SR, Donelan K, Ferris TG, Jha A, et al. Electronic health records in ambulatory care-a national survey of physicians. N Engl J Med. 2008; 359(1): 50-60. [DOI:10.1056/NEJMsa0802005]
48. Sanyal C, Stolee P, Juzwishin D, Husereau D. Economic evaluations of eHealth technologies: a systematic review. PloS one. 2018;13(6): e0198112. doi: 10.1371/journal.pone.0198112 [DOI:10.1371/journal.pone.0198112]
49. Sadr SMH. A review of the impact of e-health on economic growth in developed countries and developing countries. Dev Country Stud. 2012; 2(7):19-28.
50. Skaricic N. Health care and economic crisis: can it get worse? Croat Med J. 2010; 51(5): 477-9. doi:10.3325/cmj.2010.51.477. [DOI:10.3325/cmj.2010.51.477]
51. World Health Organization. The financial crisis and global health. Report of a high-level consultation. Geneva: World Health Organization; 2009. Available from: http://www.who.int/entity/mediacentre/events/meetings/2009_financial_crisis_report_en_.pdf. Accessed: October 12, 2010.
52. Matthias AT, Jayasinghe S. Worsening economic crisis in Sri Lanka: impacts on health. Lancet Glob Health. 2022; 10(7): e959. doi:10.1016/S2214-109X(22)00234-0. [DOI:10.1016/S2214-109X(22)00234-0]
53. Azamar-Alonso A, Costa AP, Huebner L-A, Tarride J-E. Electronic referral systems in health care: a scoping review. Clinicoecon Outcomes Res. 2019;11:325. doi:10.2147/CEOR.S195597. [DOI:10.2147/CEOR.S195597]
54. Khan SZ, Shahid Z, Hedstrom K, Andersson A. Hopes and fears in implementation of electronic health records in Bangladesh. Electron J Inf Syst Dev Countries. 2012;54(1):1-18. doi:10.1002/j.1681-4835.2012.tb00387.x. [DOI:10.1002/j.1681-4835.2012.tb00387.x]
55. Oyeyemi SO, Wynn R. Giving cell phones to pregnant women and improving services may increase primary health facility utilization: a case-control study of a Nigerian project. Reprod Health. 2014; 11(1): 8. doi: 10.1186/1742-4755-11-8 [DOI:10.1186/1742-4755-11-8]
56. Yusif S, Soar J. Preparedness for e-health in developing countries: the case of Ghana. J Health Inform Dev Ctries. 2014; 8(2): 18-36.
57. Akbari A, Mayhew A, Al‐Alawi MA, Grimshaw J, Winkens R, Glidewell E, et al. Interventions to improve outpatient referrals from primary care to secondary care. Cochrane Database Syst Rev. 2005; (3): CD005471. doi:10.1002/14651858.CD005471. [DOI:10.1002/14651858.CD005471]
58. Durbin J, Barnsley J, Finlayson B, Jaakkimainen L, Lin E, Berta W, et al. Quality of communication between primary health care and mental health care: an Examination of referral and discharge letters. J Behav Health Serv Res. 2012; 39(4): 445-61. doi:10.1007/s11414-012-9288-9. [DOI:10.1007/s11414-012-9288-9]
59. Patel MP, Schettini P, O'Leary CP, Bosworth HB, Anderson JB, Shah KP. Closing the referral loop: an analysis of primary care referrals to specialists in a large health system. J Gen Intern Med. 2018; 33(5):715-21. doi:10.1007/s11606-018-4392-z. [DOI:10.1007/s11606-018-4392-z]
60. Hysong SJ, Esquivel A, Sittig DF, Paul LA, Espadas D, Singh S, et al. Towards successful coordination of electronic health record based-referrals: a qualitative analysis. Implementation Sci. 2011; 84(1): 6. doi.org/10.1186/1748-5908-6-84 [DOI:10.1186/1748-5908-6-84]

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