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Table 2 Characteristics of Referral Metrics by Domain

From: Performance measures of the specialty referral process: a systematic review of the literature

Characteristic Need1 N = 14 Initiation2 N = 73 Entry3 N = 53 Coordination N = 60 Type4 N = 3 Tasks5 N = 19 Resources6 N = 13 Quality N = 57 Outcomes N = 9 All Domains N = 244
Donabedian Domains n(%) 14(100) 73(100) 53(100) 0(0) 0(0) 0(0) 0(0) 0(0) 0(0) 147(60.2)
   Structure 0(0) 0(0) 0(0) 60(100) 3(100) 19(100) 13(100) 0(0) 0(0) 84(34.4)
   Process 0(0) 0(0) 0(0) 0(0) 0(0) 0(0) 0(0) 57(100) 9(100) 46(18.9)
   Outcome 14(100) 70(95.9) 52(98.1) 59(98.3) 3(100) 19(100) 12(92.3) 57(100) 9(100) 239(98.0)
Validity, n(%)  
   Content 2(14.3) 22(30.1) 24(45.3) 53(88.3) 2(66.7) 12(63.2) 1(7.7) 25(43.9) 3(33.3) 103(42.2)
   Criterion 1(7.1) 5(6.8) 4(7.5) 1(1.6) 0(0) 3(15.8) 2(15.4) 4(7.0) 0(0) 17(7.0)
   Construct 14(100) 67(91.8) 49(92.5) 40(58.6) 3(100) 14(73.7) 10(76.9) 54(94.7) 7(77.7) 215(88.1)
Reliability, n(%) 0(0) 15(20.5) 7(10.1) 17(27) 0(0) 4(21.1) 1(7.7) 10(17.5) 1(11.1) 38(15.6)
   Inter-Rater 0(0) 2(2.7) 2(2.9) 7(11.1) 0(0) 1(5.3) 0(0) 3(7.9) 0(0) 12(4.9)
   Test-Retest 0(0) 1(1.4) 0(0) 3(4.8) 0(0) 1(5.3) 0(0) 0(0) 0(0) 4(1.6)
   Internal Consistency 0(0) 12(16.4) 5(7.2) 13(20.6) 0(0) 3(15.8) 1(7.7) 8(21.1) 1(11.1) 28(11.5)
Data Source, n(%)           
   Questionnaire 6(42.9) 51(69.9) 30(56.6) 46(76.7) 3(100) 11(57.9) 2(15.4) 42(73.7) 6(66.7) 152(62.3)
   Administrative 4(28.6) 8(11.0) 24(45.2) 1(1.6) 0(0) 2(10.5) 10(76.9) 4(7.0) 1(11.1) 49(20.1)
   Chart Review 2(14.3) 25 (34.2) 9(17.0) 22(34.9) 0(0) 10(52.6) 1(7.7) 18(31.6) 2(22.2) 75(30.7)
   Not reported 2(14.3) 0(0) 0(0) 0(0) 0(0) 0(0) 0(0) 0(0) 0(0) 2(0.8)
  1. 1'Need' refers to a patient's evaluation of need for specialty care
  2. 2'Initiation' refers to the steps taken to refer a patient
  3. 3'Entry' refers to a patient's entry into specialty care
  4. 4'Type' refers to the relationship between a PCP and referred specialist
  5. 5'Tasks' refers to the clinical tasks performed during care
  6. 6'Resources' refers to the usage and costs of services