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Real-life implementation and evaluation of the e-referral system SIPILINK.

Int J Med Inform

February 2025

Université Paris Cité, Sorbonne Université, Inserm, Centre de Recherche des Cordeliers, F-75006 Paris, France; Inria, HeKA, PariSanté Campus Paris, France; Department of Medical Informatics, AP-HP, Hôpital Européen Georges-Pompidou, Hôpital Necker F-75015 Paris, France; AP-HP, Hôpital Européen Georges-Pompidou, Hôpital Necker F-75015 Paris, France. Electronic address:

Introduction: General Practitioners (GPs) play a key role of gatekeeper, as they coordinate patients' care. However, most of them reported having difficulty to refer patients to hospital, especially in semi-urgent context. To facilitate the referral of semi-urgent patients, we implemented an e-referral platform, named SIPILINK, within 4 wards from a large public French hospital (internal medicine, diabetology, gynaecological surgery and oncology wards).

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Background: The coronavirus disease 2019 (COVID-19) pandemic impacted cancer services worldwide. We examined the effect of the first three pandemic waves on the number of electronic (e)-referrals to rapid access clinics (RACs) for breast, lung and prostate cancer in Ireland.

Methods: This study used a retrospective, repeated cross-sectional design.

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Introduction This service evaluation reviewed how the inclusion of photographs in dentist referrals to an oral medicine specialist service can improve the service for triage, prioritisation and diagnosis.Materials and methods Data were prospectively collected from e-referrals over a four-month period. Any change in appointment prioritisation resulting from review of photographs at the vetting stage was recorded.

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Background: E-referral systems, streamlining patient access to specialists, have gained global recognition yet lacked a comparative study between internal and external referrals in Saudi Arabia (KSA).

Methods: This retrospective study utilized secondary data from the Saudi Medical Appointments and Referrals Centre system. The data covers 2020 and 2021, including socio-demographic data, referral characteristics, and specialties.

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Article Synopsis
  • New Zealand has a high rate of skin cancer and long hospital waiting times for treatment, leading to more skin cancer surgeries being done in primary care settings.
  • This study assessed a process where general practitioners used teledermatology for diagnosing keratinocytic cancers, finding that 75% of cases led to confirmed diagnoses after excision.
  • Results showed that most surgeries by general practitioners occurred on average 25 days after referral, significantly quicker than those performed by specialists, indicating a more efficient workflow in primary care for skin cancer treatment.
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