Physicians hit barriers in making cancer referrals

Physicians hit barriers in making cancer referrals

(HealthDay)—Many physicians report encountering barriers when referring cancer patients to specialty care, according to research published in the Jan. 1 issue of Cancer.

Daniel H. Kwon, from the David Geffen School of Medicine at the University of California in Los Angeles, and colleagues analyzed responses (1,562 [PCPs] and 2,144 specialists) to the multiregional Cancer Care Outcomes Research and Surveillance Consortium physician survey. Assessed physician-reported barriers to cancer specialist referrals included: restricted provider networks, preauthorization requirements, patient inability to pay, lack of surgical subspecialists, and excessive patient travel time.

The researchers found that three in five reported always, usually, or sometimes encountering any barrier to specialty referrals. International medical graduates, physicians practicing in solo or government-owned practices, and physicians with <90 percent of their patients in managed care plans had higher barrier scores than others (P < 0.05), after adjusted analyses. These high barrier scores were also tied to lower physician career satisfaction among both PCPs and specialists (P < 0.05).

"Uniform systems for providing and tracking timely referrals may enhance care and promote physician career satisfaction," the authors write.


Explore further

Oncologists, PCPs differ in cancer follow-up concerns

More information: Abstract
Full Text
Journal information: Cancer

Copyright © 2015 HealthDay. All rights reserved.

Citation: Physicians hit barriers in making cancer referrals (2015, January 20) retrieved 13 July 2020 from https://medicalxpress.com/news/2015-01-physicians-barriers-cancer-referrals.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
3 shares

Feedback to editors

User comments