Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions

Daniel Gologorsky1, Scott H Greenstein2 1Dartmouth Medical School, Hanover, NH, USA; 2Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA Abstract: Patients choose to seek a second opinion in matters related to their health for a variety of reaso...

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Autores principales:	Gologorsky D, Greenstein SH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/4f92ff2c3bc243a5899bccc8146cc968
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spelling	oai:doaj.org-article:4f92ff2c3bc243a5899bccc8146cc9682021-12-02T00:19:45ZRetrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions1177-54671177-5483https://doaj.org/article/4f92ff2c3bc243a5899bccc8146cc9682013-06-01T00:00:00Zhttp://www.dovepress.com/retrospective-analysis-of-patients-self-referred-to-comprehensive-opht-a13310https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Daniel Gologorsky1, Scott H Greenstein2 1Dartmouth Medical School, Hanover, NH, USA; 2Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA Abstract: Patients choose to seek a second opinion in matters related to their health for a variety of reasons, and the total cost associated with these second opinion visits is estimated to be billions of dollars annually. Understanding the reasons behind second opinion self-referrals is key to improving patient satisfaction and reducing redundancy in delivered health care. This study represents a retrospective analysis of the records from a single provider at the Massachusetts Eye and Ear Infirmary (MEEI) Comprehensive Ophthalmology Service in order to determine the various reasons that patients self-refer to an ophthalmology clinic seeking second opinions. A total of 174 patients presenting for a second opinion were identified over a one-year period. Patients presented for second opinions for two primary reasons: 60% presented in order to seek a confirmation of a diagnosis from an outside ophthalmologist (54%) or optometrist (6%), and 40% presented due to a previous adverse experience with an outside provider, such as perceived treatment failure (26%), poor bedside manner (3%), distrust of the provider (5%), and poor provider communication skills (7%). This study strives to reiterate that the reduction of adverse patient experiences through effective communication of expected treatment options and outcomes, with a realistic time course of therapy, could significantly improve patient satisfaction and reduce costly second opinion visits. Keywords: referral, self-referral, second opinion, comprehensive ophthalmologyGologorsky DGreenstein SHDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1099-1102 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Gologorsky D Greenstein SH Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions
description	Daniel Gologorsky1, Scott H Greenstein2 1Dartmouth Medical School, Hanover, NH, USA; 2Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA Abstract: Patients choose to seek a second opinion in matters related to their health for a variety of reasons, and the total cost associated with these second opinion visits is estimated to be billions of dollars annually. Understanding the reasons behind second opinion self-referrals is key to improving patient satisfaction and reducing redundancy in delivered health care. This study represents a retrospective analysis of the records from a single provider at the Massachusetts Eye and Ear Infirmary (MEEI) Comprehensive Ophthalmology Service in order to determine the various reasons that patients self-refer to an ophthalmology clinic seeking second opinions. A total of 174 patients presenting for a second opinion were identified over a one-year period. Patients presented for second opinions for two primary reasons: 60% presented in order to seek a confirmation of a diagnosis from an outside ophthalmologist (54%) or optometrist (6%), and 40% presented due to a previous adverse experience with an outside provider, such as perceived treatment failure (26%), poor bedside manner (3%), distrust of the provider (5%), and poor provider communication skills (7%). This study strives to reiterate that the reduction of adverse patient experiences through effective communication of expected treatment options and outcomes, with a realistic time course of therapy, could significantly improve patient satisfaction and reduce costly second opinion visits. Keywords: referral, self-referral, second opinion, comprehensive ophthalmology
format	article
author	Gologorsky D Greenstein SH
author_facet	Gologorsky D Greenstein SH
author_sort	Gologorsky D
title	Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions
title_short	Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions
title_full	Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions
title_fullStr	Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions
title_full_unstemmed	Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions
title_sort	retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/4f92ff2c3bc243a5899bccc8146cc968
work_keys_str_mv	AT gologorskyd retrospectiveanalysisofpatientsselfreferredtocomprehensiveophthalmologyseekingsecondopinions AT greensteinsh retrospectiveanalysisofpatientsselfreferredtocomprehensiveophthalmologyseekingsecondopinions
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Retrospective analysis of patients self-referred to comprehensive ophthalmology seeking second opinions

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