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Barriers and Determinants of Referral Adherence in AI-Enabled Diabetic Retinopathy Screening for Older Adults in Northern India During the COVID-19 Pandemic: Mixed Methods Pilot Study

Barriers and Determinants of Referral Adherence in AI-Enabled Diabetic Retinopathy Screening for Older Adults in Northern India During the COVID-19 Pandemic: Mixed Methods Pilot Study

Semistructured interviews were conducted to explore participants perspectives on the barriers to adhering to referral recommendations following AI-enabled DRS. The in-depth interview guides were developed in English, informed by existing literature on barriers to DR screening and referral [31-34], and later translated into Hindi and Punjabi (Table S3 in Multimedia Appendix 1). These guides, featuring open-ended questions and probes, explored participants’ perspectives on referral adherence after DRS.

Anshul Chauhan, Anju Goyal, Ritika Masih, Gagandeep Kaur, Lakshay Kumar, ­ Neha, Harsh Rastogi, Sonam Kumar, Bidhi Lord Singh, Preeti Syal, Vishali Gupta, Luke Vale, Mona Duggal

JMIR Form Res 2025;9:e67047

Factors Influencing Primary Care Physicians’ Intent to Refer Patients With Hypertension to a Digital Remote Blood Pressure Monitoring Program: Mixed Methods Study

Factors Influencing Primary Care Physicians’ Intent to Refer Patients With Hypertension to a Digital Remote Blood Pressure Monitoring Program: Mixed Methods Study

All eligible physicians were randomized using simple randomization via a random number generator in the CRAN package of statistical analysis software “R” (R Core Team) into 1 of 2 study arms, with a link to a personalized survey that included either their own referral data (Arm A) or their own referral data plus their peers’ (own+peer) referral rates (Arm B). Two email reminders were sent to PCPs who had not responded. All PCP identifiers were kept confidential.

Jennifer J Wu, Ross Graham, Julie Çelebi, Kevin Fraser, Geneen T Gin, Laurel Dang, Esmatullah Hatamy, Amanda Walker, Courtney Barbato, Ottar Lunde, Lisa Coles, Parag Agnihotri, Cassandra Morn, Ming Tai-Seale

J Med Internet Res 2025;27:e64933

Association of a Novel Electronic Form for Preoperative Cardiac Risk Assessment With Reduction in Cardiac Consultations and Testing: Retrospective Cohort Study

Association of a Novel Electronic Form for Preoperative Cardiac Risk Assessment With Reduction in Cardiac Consultations and Testing: Retrospective Cohort Study

Preoperative workup may include a referral to a cardiologist, and appropriate indications for such consultations have been described [3,5]. Inappropriate cardiac testing or cardiology referrals are considered low-value care because they rarely change perioperative management, cause surgical delays, and increase costs [5-12]. Low-value preoperative cardiac stress testing is estimated to cost US $102 to US $238 million [9].

Mandeep Kumar, Kathryn Wilkinson, Ya-Huei Li, Rohit Masih, Mehak Gandhi, Haleh Saadat, Julie Culmone

JMIR Perioper Med 2024;7:e63076

Intramural Health Care Through Video Consultations and the Need for Referrals and Hospital Admissions: Retrospective Quantitative Subanalysis of an Evaluation Study

Intramural Health Care Through Video Consultations and the Need for Referrals and Hospital Admissions: Retrospective Quantitative Subanalysis of an Evaluation Study

Referral diagnoses also varied between the cases (Table 3). A total of 5 out of the 12 VC physicians (4 family physicians and 1 psychiatrist) conducted the encounters resulting in a referral, however, the number of overall encounters per physician varied greatly ranging from 2 to 143. An interpreter was not needed in any of the 17 consultations that resulted in a referral.

Katharina Schmalstieg-Bahr, Miriam Giovanna Colombo, Roland Koch, Joachim Szecsenyi, Friedrich Völker, Eva Elisabeth Blozik, Martin Scherer

Interact J Med Res 2024;13:e44906

Digital Triage Tools for Sexually Transmitted Infection Testing Compared With General Practitioners’ Advice: Vignette-Based Qualitative Study With Interviews Among General Practitioners

Digital Triage Tools for Sexually Transmitted Infection Testing Compared With General Practitioners’ Advice: Vignette-Based Qualitative Study With Interviews Among General Practitioners

The second objective was to learn which factors influenced the GP’s decision regarding a referral for diagnostic testing. In addition, this research provides insights into the GP’s decision-making process and whether factors are possibly missing from a digital triage tool. As a starting point, we investigated these research questions for sexually transmitted infection (STI) triage as the medical guidelines are straightforward (eg, clear risk factors and answer categories).

Kyma Schnoor, Anke Versluis, Niels H Chavannes, Esther P W A Talboom-Kamp

JMIR Hum Factors 2024;11:e49221

Using Conversational AI to Facilitate Mental Health Assessments and Improve Clinical Efficiency Within Psychotherapy Services: Real-World Observational Study

Using Conversational AI to Facilitate Mental Health Assessments and Improve Clinical Efficiency Within Psychotherapy Services: Real-World Observational Study

Digital innovation to support referral and clinical assessment is earmarked as a key area to increase service capacity within mental health care. One of the main aims of the referral process is to collect information that can be used for clinical assessment to identify symptoms and triage patients into the appropriate treatment pathways. Therefore, the referral process and clinical assessments represent promising targets for automation.

Max Rollwage, Johanna Habicht, Keno Juechems, Ben Carrington, Mona Stylianou, Tobias U Hauser, Ross Harper

JMIR AI 2023;2:e44358

Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis

Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis

A logistic regression was performed using deciles to identify when a significant change in number of notification and referral to study occurred. As the deciles had overlapping notification values, we categorized the notifications into 9 categories (1, 2, 3, 4, 5, 6, 7 to 8, 9 to 13, or greater than 13 notifications). It was found that at 6 notifications there was a significant change in referral response (Multimedia Appendix 1).

Jessica E Ma, Jared Lowe, Callie Berkowitz, Azalea Kim, Ira Togo, R Clayton Musser, Jonathan Fischer, Kevin Shah, Salam Ibrahim, Hayden B Bosworth, Annette M Totten, Rowena Dolor

J Med Internet Res 2023;25:e41884

The Usability of Homelab, a Digital Self-service at a Dutch General Practice, for Diagnostic Tests: Pilot Study With a Questionnaire

The Usability of Homelab, a Digital Self-service at a Dutch General Practice, for Diagnostic Tests: Pilot Study With a Questionnaire

Patients can use Homelab to order diagnostic tests online without going to the GP for a diagnostic test referral. After ordering a test on Homelab, the patient’s GP needs to authorize the ordered test; this way, GPs can monitor what is being ordered. Authorizing the ordered tests ensures that the tests are reimbursed health care. A consultation is scheduled when a diagnostic test result is abnormal or a disease or a condition is present. Both the patient and the GP can view the test result online.

Kyma Schnoor, Anke Versluis, Niels H Chavannes, Esther P W A Talboom-Kamp

JMIR Form Res 2023;7:e42151

The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey

The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey

After reading each clinical vignette, participants will be asked to decide if this is (a) an MSK condition, which does not need referral to a medical doctor (keep); (b) a noncritical medical condition, which needs referral to a medical doctor, while the patient can be treated by a physiotherapist (keep-refer); and (c) a critical medical condition, which needs immediate referral to a medical doctor and treatment by the physiotherapist should be stopped (refer).

Wolfgang Lackenbauer, Simon Gasselich, Martina Edda Lickel, Reinhard Beikircher, Christian Keip, Florian Rausch, Manfred Wieser, James Selfe, Jessie Janssen

JMIR Res Protoc 2023;12:e43028

Shortening the Time Interval for the Referral of Patients With Soft Tissue Sarcoma to Expert Centers Using Mobile Health: Retrospective Study

Shortening the Time Interval for the Referral of Patients With Soft Tissue Sarcoma to Expert Centers Using Mobile Health: Retrospective Study

Shortening the time interval for referral to an expert center for patients with STS is challenging. To reach most health care providers and raise their awareness, we developed, with the help of Chlorophyll Vision, a mobile app called Sar’Connect in 2021, which aims to increase the rate of early detection of STS and facilitate patient referral to expert centers based on the FSG radiological algorithm and geolocation of health professionals [26].

Simon Nannini, Nicolas Penel, Emmanuelle Bompas, Thibault Willaume, Jean-Emmanuel Kurtz, Justine Gantzer

JMIR Mhealth Uhealth 2022;10(11):e40718