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Brief ReportBrief Report

Patient Perspectives on Delayed Specialty Follow-Up After a Primary Care Visit

Leonor Fernández, Dru Ricci, Amie Pollack, Maelys J. Amat, Meghan Drielak, Talya Salant, Gordon D. Schiff, Umber Shafiq, Scot B. Sternberg, James Benneyan, Mark Aronson, Erin Sullivan and Russell S. Phillips
The Journal of the American Board of Family Medicine January 2025, 38 (1) 139-153; DOI: https://doi.org/10.3122/jabfm.2024.240063R3
Leonor Fernández
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
MD
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Dru Ricci
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
BA
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Amie Pollack
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
PhD
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Maelys J. Amat
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
MD, MBA
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Meghan Drielak
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
BFA
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Talya Salant
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
MD, PhD
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Gordon D. Schiff
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
MD
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Umber Shafiq
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
MPH
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Scot B. Sternberg
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
MS
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James Benneyan
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
PhD
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Mark Aronson
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
MD
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Erin Sullivan
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
PhD*
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Russell S. Phillips
From the Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (LF, MJA, TS, US, SBS, MA); Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA (GDS); Center for Primary Care, Harvard Medical School, Boston, MA, USA (DR, AP, ES, RSP); Healthcare Systems Engineering Institute, Northeastern University, Boston, MA (JB).
MD*
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References

  1. 1.↵
    1. Singh H,
    2. Meyer AN,
    3. Thomas EJ
    . The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. BMJ Qual Saf 2014;23:727–31.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Singh H,
    2. Schiff GD,
    3. Graber ML,
    4. Onakpoya I,
    5. Thompson MJ
    . The global burden of diagnostic errors in primary care. BMJ Qual Saf 2017;26:484–94.
    OpenUrlAbstract/FREE Full Text
  3. 3.↵
    1. Pagani K,
    2. Lukac D,
    3. Olbricht SM,
    4. et al
    . Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. Arch Dermatol Res 2023;315:1397–400.
    OpenUrlPubMed
  4. 4.↵
    1. Forrest CB,
    2. Shadmi E,
    3. Nutting PA,
    4. Starfield B
    . Specialty referral completion among primary care patients: results from the ASPN Referral Study. Ann Fam Med 2007;5:361–7.
    OpenUrlAbstract/FREE Full Text
  5. 5.↵
    1. White T,
    2. Aronson MD,
    3. Sternberg SB,
    4. et al
    . Analysis of radiology report recommendation characteristics and rate of recommended action performance. JAMA Netw Open 2022;5:e2222549.
    OpenUrlPubMed
  6. 6.↵
    1. Campbell KA,
    2. Sternberg SB,
    3. Benneyan J,
    4. et al
    . Completion rates and timeliness of diagnostic colonoscopies for rectal bleeding in primary care. J Gen Intern Med 2023;39:985–91
    OpenUrlPubMed
  7. 7.↵
    1. Patel MP,
    2. Schettini P,
    3. O'Leary CP,
    4. Bosworth HB,
    5. Anderson JB,
    6. Shah KP
    . Closing the referral loop: an analysis of primary care referrals to specialists in a large health system. J Gen Intern Med 2018;33:715–21.
    OpenUrlCrossRefPubMed
  8. 8.↵
    1. El AyadiDesai HA,
    2. Jones RE,
    3. et al
    . Referral rates vary widely between family medicine practices. J Am Board Fam Med 2021;34:1183–8.
    OpenUrlAbstract/FREE Full Text
  9. 9.↵
    1. Hoffman AS,
    2. Lowenstein LM,
    3. Kamath GR,
    4. et al
    . An entertainment-education colorectal cancer screening decision aid for African American patients: a randomized controlled trial. Cancer 2017;123:1401–8.
    OpenUrlPubMed
  10. 10.
    1. Kne A,
    2. Zierhut H,
    3. Baldinger S,
    4. et al
    . Why is cancer genetic counseling underutilized by women identified as at risk for hereditary breast cancer? Patient perceptions of barriers following a referral letter. J Genet Couns 2017;26:697–715.
    OpenUrlPubMed
  11. 11.↵
    1. Mwansa H,
    2. Lewsey S,
    3. Mazimba S,
    4. Breathett K
    . Racial/ethnic and gender disparities in heart failure with reduced ejection fraction. Curr Heart Fail Rep 2021;18:41–51.
    OpenUrlPubMed
  12. 12.↵
    1. Landon BE,
    2. Onnela JP,
    3. Meneades L,
    4. O'Malley AJ,
    5. Keating NL
    . Assessment of racial disparities in primary care physician specialty referrals. JAMA Netw Open 2021;4:e2029238. Published 2021 Jan 4.
    OpenUrlPubMed
  13. 13.↵
    1. Agunwamba AA,
    2. Zhu X,
    3. Sauver JS,
    4. Thompson G,
    5. Helmueller L,
    6. Finney Rutten LJ
    . Barriers and facilitators of colorectal cancer screening using the 5As framework: a systematic review of US studies. Prev Med Rep 2023;35:102353.
    OpenUrlPubMed
  14. 14.↵
    1. Bell SK,
    2. Amat MJ,
    3. Anderson TS,
    4. et al
    . Do patients who read visit notes on the patient portal have a higher rate of “loop closure” on diagnostic tests and referrals in primary care? A retrospective cohort study. J Am Med Inform Assoc 2024;31:622–30.
    OpenUrlPubMed
  15. 15.↵
    1. Amat MJ,
    2. Anderson TS,
    3. Shafiq U,
    4. et al
    . Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Jt Comm J Qual Patient Saf 2023;50:177–84.
    OpenUrlPubMed
  16. 16.↵
    1. Weinstein E,
    2. Ragazzoni L,
    3. Burkle F,
    4. Allen M,
    5. Hogan D,
    6. Della Corte F
    . Delayed primary and specialty care: the coronavirus disease-2019 pandemic second wave. Disaster Med Public Health Prep 2020;14:e19–e21.
    OpenUrl
  17. 17.
    1. Akanuwe JNA,
    2. Black S,
    3. Owen S,
    4. Siriwardena AN
    . Communicating cancer risk in the primary care consultation when using a cancer risk assessment tool: qualitative study with service users and practitioners. Health Expect 2020;23:509–18.
    OpenUrlPubMed
  18. 18.↵
    1. Zuckerman KE,
    2. Nelson K,
    3. Bryant TK,
    4. Hobrecker K,
    5. Perrin JM,
    6. Donelan K
    . Specialty referral communication and completion in the community health center setting. Acad Pediatr 2011;11:288–96.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Dahm MR,
    2. Cattanach W,
    3. Williams M,
    4. Basseal JM,
    5. Gleason K,
    6. Crock C
    . Communication of diagnostic uncertainty in primary care and its impact on patient experience: an integrative systematic review. J Gen Intern Med 2023;38:738–54.
    OpenUrlPubMed
  20. 20.↵
    1. Guest G,
    2. Namey E,
    3. Chen M
    . A simple method to assess and report thematic saturation in qualitative research. PLoS One 2020;15:e0232076.
    OpenUrlCrossRefPubMed
  21. 21.↵
    1. Turcotte S,
    2. Guerrier M,
    3. Labrecque M,
    4. et al
    . Dyadic validity of the Decisional Conflict Scale: common patient/physician measures of patient uncertainty were identified. J Clin Epidemiol 2015;68:920–7.
    OpenUrlPubMed
  22. 22.↵
    1. Pecanac KE,
    2. Brown RL,
    3. Kremsreiter HB
    . Decisional conflict during major medical treatment decision-making: a survey study. J Gen Intern Med 2021;36:55–61.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Nehls N,
    2. Yap TS,
    3. Salant T,
    4. et al
    . Systems engineering analysis of diagnostic referral closed-loop processes. BMJ Open Qual 2021;10:e001603.
    OpenUrlAbstract/FREE Full Text
  24. 24.
    1. North F,
    2. Nelson EM,
    3. Buss RJ,
    4. Majerus RJ,
    5. Thompson MC,
    6. Crum BA
    . The effect of automated mammogram orders paired with electronic invitations to self-schedule on mammogram scheduling outcomes: observational cohort comparison. JMIR Med Inform 2021;9:e27072.
    OpenUrl
  25. 25.
    1. Matulis JC,
    2. McCoy R
    . Patient-centered appointment scheduling: a call for autonomy, continuity, and creativity. J Gen Intern Med 2021;36:511–4.
    OpenUrlPubMed
  26. 26.↵
    1. Schiff GD,
    2. Kroenke K,
    3. Lambert BL,
    4. Sanders L,
    5. Sheikh A
    . Ten principles for more conservative, care-full diagnosis. Ann Intern Med 2019;170:823–4.
    OpenUrl
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The Journal of the American Board of Family     Medicine: 38 (1)
The Journal of the American Board of Family Medicine
Vol. 38, Issue 1
January-February 2025
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Patient Perspectives on Delayed Specialty Follow-Up After a Primary Care Visit
Leonor Fernández, Dru Ricci, Amie Pollack, Maelys J. Amat, Meghan Drielak, Talya Salant, Gordon D. Schiff, Umber Shafiq, Scot B. Sternberg, James Benneyan, Mark Aronson, Erin Sullivan, Russell S. Phillips
The Journal of the American Board of Family Medicine Jan 2025, 38 (1) 139-153; DOI: 10.3122/jabfm.2024.240063R3

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Patient Perspectives on Delayed Specialty Follow-Up After a Primary Care Visit
Leonor Fernández, Dru Ricci, Amie Pollack, Maelys J. Amat, Meghan Drielak, Talya Salant, Gordon D. Schiff, Umber Shafiq, Scot B. Sternberg, James Benneyan, Mark Aronson, Erin Sullivan, Russell S. Phillips
The Journal of the American Board of Family Medicine Jan 2025, 38 (1) 139-153; DOI: 10.3122/jabfm.2024.240063R3
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Keywords

  • Communication
  • Continuity of Patient Care
  • Diagnostic Errors
  • Diagnostic Tests
  • Doctor-Patient Relations
  • Health Disparities
  • Health Education
  • Health Literacy
  • Patient Care Team
  • Patient-Centered Care
  • Patient Engagement
  • Patient Safety
  • Practice-based Research
  • Primary Health Care
  • Process Measures
  • Qualitative Research
  • Quality Improvement
  • Quality of Care
  • Referral, Risk Assessment
  • Shared Decision-Making

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