In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request.
Refer to Classification of Pharmaco-Therapeutic Referrals and International Classification of Primary Care.
- Tertiary care is usually done by referral from primary or secondary medical care personnel.
- In the field of sexually transmitted diseases (STDs), referral also means the informing of a partner of a patient diagnosed STD of the potential exposure.
- Patient referral is where patients directly inform their partners of their exposure to infection.
- An alternative is provider referral, where trained health department personnel locate partners on the basis of the names, descriptions, and addresses provided by the patient to inform the partner.
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The Classification of Pharmaco-Therapeutic Referrals (CPR) is a taxonomy focused on defining and grouping together situations requiring a referral from pharmacists to physicians (and vice versa) regarding the pharmacotherapy used by the patients. It has been published in 2008. It is bilingual: English/Spanish (Clasificación de Derivaciones Fármaco-terapéuticas).
It is a simple and efficient classification of pharmaco-therapeutic referrals between physicians and pharmacists permitting a common inter-professional language. It is adapted to any type of referrals among health professionals, and to increase its specificity it can be combined with ATC codes, ICD-10, and ICPC-2 PLUS.
It is a part of the MEDAFAR Project, whose objective is to improve, through different scientific activities, the coordination processes between physicians and pharmacists working in primary health care.
- Pharmaceutical Care Foundation of Spain (Fundación Pharmaceutical Care España).
- Spanish Society of Primary Care Doctors (Sociedad Española de Médicos de Atención Primaria) (SEMERGEN).
- Raimundo Pastor Sánchez (Family practice, “Miguel de Cervantes” Primary Health Centre SERMAS Alcalá de Henares – Madrid – Spain).
- Carmen Alberola Gómez-Escolar (Pharmacist, Vice-President Fundación Pharmaceutical Care España).
- Flor Álvarez de Toledo Saavedra (Community pharmacist, Past-President Fundación Pharmaceutical Care España).
- Nuria Fernández de Cano Martín (Family practice, “Daroca” Primary Health Centre SERMAS Madrid – Spain).
- Nancy Solá Uthurry (Doctor in Pharmacy, Fundación Pharmaceutical Care España).
It is structured in 4 chapters (E, I, N, S) and 38 rubrics. The terminology used follows the rules of ICPC-2.
Each rubric consists in an alphanumeric code (the letter corresponds to the chapters and the number to the component) and each title of the rubric (the assigned name) is expressed and explained by:
- A series of terms related with the title of the rubric.
- A definition expressing the meaning of the rubric.
- A list of inclusion criteria and another list with exclusion criteria to select and qualify the contents corresponding to a rubric.
- Some example to illustrate every term.
It also includes a glossary of 51 terms defined by consensus, an alphabetical index with 350 words used in the rubrics; and a standardised model of inter-professional referral form, to facilitate referrals from community pharmacists to primary care physicians.
Classification of Pharmaco-Therapeutic Referrals MEDAFAR
- E 0. Effectiveness / Efficiency, unspecified.
- E 1. Indication.
- E 2. Prescription and dispensing conditions.
- E 3. Active substance / excipient.
- E 4. Pharmaceutical form / how supplied.
- E 5. Dosage.
- E 6. Quality.
- E 7. Storage.
- E 8. Consumption.
- E 9. Outcome.
I. Information/Health Education
- I 0. Information / health education, unspecified.
- I 1. Situation / reason for encounter.
- I 2. Health problem.
- I 3. Complementary examination.
- I 4. Risk.
- I 5. Pharmacological treatment.
- I 6. No pharmacological treatment.
- I 7. Treatment goal.
- I 8. Socio-healthcare system.
- N 0. Need, unspecified.
- N 1. Treatment based on symptoms and/or signs.
- N 2. Treatment based on socio-economic-work issues.
- N 3. Treatment based on public health issues.
- N 4. Prevention.
- N 5. Healthcare provision.
- N 6. Complementary test for treatment control.
- N 7. Administrative activity.
- N 8. On patient request (fears, doubts, wants).
- S 0. Safety, unspecified.
- S 1. Toxicity.
- S 2. Interaction.
- S 3. Allergy.
- S 4. Addiction (dependence).
- S 5. Other side effects.
- S 6. Contraindication.
- S 7. Medicalisation.
- S 8. Non-regulate substance.
- S 9. Data / confidentiality.
This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/Classification_of_Pharmaco-Therapeutic_Referrals >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.