Self-referral and associated factors among patients attending adult outpatient departments in Debre tabor general hospital, North West Ethiopia

BMC Health Services Research

Tigist Misganaw Abere¹  Yaread Mulu²  Desta Debalkie Atnafu² 

[1] College of Medicine and Health Science, Bahir Dar University;Department of Health System & Health Economics, Bahir Dar University College of Medicine and Health Science, School of Public Health;

关键词: Self-referral;    Referral system and Ethiopia;   

DOI  :  10.1186/s12913-021-06642-7

来源: DOAJ

【 摘 要 】

Plain English summary An effective referral linkage is an integral component of a successful health care system for quality health service. Many developing countries have policies regarding referral system while transforming referral policies into practice between primary health care (PHC) facilities and higher-level facilities is challenging. This study was trying to answer the magnitude and factor associated with self-referral through structured interview questionnaires. The participants were asked about their socio-demographic characteristics, institutional related characteristics. There were 690 participants in this study. This study showed that the magnitude of self-referral was 63.9%. Educational status, knowledge about referral system, availability of medication in the nearby PHC facilities, enrollment to CBHI and history of visiting general hospital were factors significantly associated with self-referral. In conclusion, the proportion of self-referral was low compared to the Ethiopian health sector transformation plan 2015/16–20. Educational status, knowledge about referral system, availability of medication in the nearby PHC facilities, enrollment to CBHI and history of visiting general hospital were associated with self-referral. Policy action will be required to further improve ANC service utilization.

【 授权许可】

Unknown