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Figure 6. Patient Flow and Required Referral Pathways and Payments in St. Louis
![Diagram depicts the health care referral pathways within the city and county of St. Louis. Go to Text Description [D] for details.](lewfig6.gif)
[D] Figure 6 describes the health care referral pathways within the city and county of St. Louis. Specifically, this chart revealed the complexity of assessment and referral patterns, with virtually all specialty referrals having to go through ConnectCare, the program established for this purpose. The other, largely hospital-based institutions (BJC, Tenet, SSM, and Unity) as well as the patients chafed under the bureaucratic weight and delay of such a complex system.
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