Reorganising dermatology care: predictors of the substitution of secondary care with primary care.

ABSTRACT:

Background

The substitution of healthcare is a way to control rising healthcare costs. The Primary Care Plus (PC+) intervention of the Dutch 'Blue Care' pioneer site aims to achieve this feat by facilitating consultations with medical specialists in the primary care setting. One of the specialties involved is dermatology. This study explores referral decisions following dermatology care in PC+ and the influence of predictive patient and consultation characteristics on this decision.

Methods

This retrospective study used clinical data of patients who received dermatology care in PC+ between January 2015 and March 2017. The referral decision following PC+, (i.e., referral back to the general practitioner (GP) or referral to outpatient hospital care) was the primary outcome. St

SUBMITTER: van den Bogaart EHA 

PROVIDER: S-EPMC7275501 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature