کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4286225 1611979 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Quality of referrals for elective surgery at a tertiary care hospital in a developing country: An opportunity for improving timely access to and cost-effectiveness of surgical care
ترجمه فارسی عنوان
کیفیت ارجاعات جراحی انتخابی در بیمارستان مراقبت های عالی در یک کشور در حال توسعه: فرصتی برای بهبود دسترسی به موقع و هزینه یابی جراحی
کلمات کلیدی
ارجاع، عمل جراحی، سیستم های بهداشتی، کشور در حال توسعه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی


• Use of structured referral forms improved communication of essential items.
• Even with structured forms, essential information was often not conveyed.
• Use of structured forms alongside peer-feedback or electronic referral service may improve access to timely care in LMICs.

IntroductionA disproportionate number of surgeries in low- and middle-income countries (LMICs) are performed in tertiary facilities. The referral process may be an under-recognized barrier to timely and cost-effective surgical care. This study aimed to assess the quality of referrals for surgery to a tertiary hospital in Ghana and identify ways to improve access to timely care.MethodsAll elective surgical referrals to Komfo Anokye Teaching Hospital for two consecutive months were assessed. Seven essential items in a referral were recorded as present or absent. The proportion of missing information was described and evaluated between facility, referring clinician type and whether or not a structured form was used.ResultsOf the 643 referrals assessed, none recorded all essential items. The median number of missing items was 4 (range 1–7). Clinicians that did not use a form missed 5 or more essential items 50% of the time, compared with 8% when a structured form was used (p = 0.001). However, even with the use of a structured form, 1 or 2 items were not recorded for 10% of referrals and up to 3 items for 45% of referrals.ConclusionStructured forms reduce missing essential information on referrals for surgery. However, proposing that a structured form be used is not enough to ensure consistent communication of essential items. Referred patients may benefit from referrer feedback mechanisms or electronic referral systems. Though often not considered among interventions to improve surgical capacity in LMICs, referral process improvements may improve access to timely surgical care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 15, March 2015, Pages 74–78
نویسندگان
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