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Tag Archives: referral

March 2014 Br J Cardiol 2014;21:8

Correspondence: echocardiography and enlarged cardiothoracic ratio

Nigel I Jowett

Abstract

Echocardiography and enlarged cardiothoracic ratio Dear Sirs, The Guys’ and St Thomas’s echo team are to be congratulated on producing evidence-based advice that could result in a significant reduction in cardiac ultrasound referrals, which may be enhanced if our radiology colleagues are taken on board.1 Many years ago, our echo department was overloaded with requests for studies as a consequence of radiology reports that included the emotive term ‘cardiomegaly’. This expression is, of course, speculative, as enlargement of the ‘cardiac’ shadow may be due to an expiratory radiograph, prominent epicardial fat pads, pericardial effu

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September 2008 Br J Cardiol 2008;15:225

Referral: four principles and 10 steps

Terry McCormack, Henry Purcell

Abstract

An extreme example is the terminally ill patient with severe central chest pain. Even if they are suffering a myocardial infarction, urgent admission may not be the best option in their care. Unnecessary referral wastes the time of both clinicians and patients. It adds to waiting times for more needy patients. Equally we could be guilty of under referral and could be providing less than perfect care for our patients. The clinician needs to ask four principle questions before referral. First: will the referral improve the accuracy of diagnosis and provide better management of the disorder? Second: have all the appropriate examinations and inve

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May 2008 Br J Cardiol 2008;15:121–2

Practice-based commissioning: should cardiologists fear it?

Stewart Findlay

Abstract

Patient choice The other driver for PBC is that from the 1 April 2008, patients have a choice of any approved provider either from within the traditional National Health Service (NHS) or from the private sector. This bypasses any agreement the primary care trust (PCT) may have with a local provider and could potentially de-stabilise a secondary-care service if the GPs or their patients felt it was not giving them the level of care they might expect. We are witnessing the creation of a real market in the NHS! On the face of it, this might be seen as driving a wedge between primary and secondary care, but it does not need to be that way. Enterp

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March 2006 Br J Cardiol 2006;13:138-40

Perceptions of healthcare staff in relation to referral for cardiac rehabilitation

Ali Yalfani, Abebaw M Yohannes, Patrick Doherty, Jean Brett, Christine Bundy

Abstract

No content available

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November 2004 Br J Cardiol 2004;11:492-4

Palpitations and syncope in primary care

Amit KJ Mandal, George G Kassianos

Abstract

No content available

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