Gaudet L A
J Case Manag. 1996 Summer;5(2):72-7.
The present system for referral of clients, particularly the elderly, to health care and social services providers is often fragmented, slowed by inaccurate or incomplete client information, and therefore less effective and perhaps more costly than it needs to be. A New York demonstration project is currently developing a computer-based information and referral system designed to streamline the referral process, provide client data to multiple agencies with only one admission interview, and offer instant access to selected agency data. Eighteen agencies are involved in the initial 2-year project; others will be invited to join once the system has been refined. Among the issues being addressed as the group creates the Community Information and Referral Access System (CIRAS) are client confidentiality, informed consent, participation guidelines, referral processes, and service definitions.
目前将客户（尤其是老年人）转介至医疗保健和社会服务提供者的系统往往支离破碎，因客户信息不准确或不完整而减缓，因此效率较低，成本可能也比所需的更高。纽约的一个示范项目目前正在开发一个基于计算机的信息和转介系统，旨在简化转介流程，只需进行一次入院面谈就能将客户数据提供给多个机构，并能即时访问选定机构的数据。18个机构参与了最初为期两年的项目；系统完善后将邀请其他机构加入。在该团队创建社区信息和转介访问系统（CIRAS）时所解决的问题包括客户保密、知情同意、参与准则、转介流程和服务定义。
