Improving the effectiveness and efficiency of outpatient services: a scoping review of interventions at the primary-secondary care interface

Eleanor Winpenny, Celine Miani, Emma Pitchforth, Sarah King & Martin Roland
Objectives: Variation in patterns of referral from primary care can lead to inappropriate overuse or underuse of specialist resources. Our aim was to review the literature on strategies involving primary care that are designed to improve the effectiveness and efficiency of outpatient services. Methods: A scoping review to update a review published in 2006. A systematic literature search was conducted and qualitative evidence synthesis of studies across five intervention domains: transfer of services from hospital...
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