Tian, L. (2011). Improving knowledge management between primary and secondary healthcare- an e-referral project. Health Care and Informatics Review Online, 15(1). http://www.hinz.org.nz/journal/2011/04/Improving-Knowledge-Management-between-Primary-and-Secondary-Healthcare–an-e-Referral-Project-/1041.
“Objective: To investigate e-Referrals on improving knowledge management between primary and secondary healthcare by replacing the manual process of paper-based referrals.
Method: A search of the available literature was conducted from 2000 to 2009 using the key words ‘electronic referral’ ‘structured template’ ‘continuity of care’ and ‘transfer of care’. Interviews with some experts who are working on e-Referrals were conducted to enhance the author’s knowledge of the planned Auckland Regional e-Referral project.
Findings: Some European countries have adopted e-Referrals since the early 1990s; e-Referral systems demonstrated reduced cost, more efficient communication and accurate health information transfer, overall smoother patients’ journeys through the community and enhanced health outcomes. However, the uptake has been much slower than expected, except for the Hutt Valley District Health Board in New Zealand.
Conclusion: The benefits of using e-Referrals are promising for the Auckland Region provided the process is planned and handled carefully within micro (individual) and macro (organisational and system) levels, as well as applying the lessons learned from other worldwide e-Referral adopters.”