Reasons contributing to the success or failure of the down referral system of stable chronic patients at a tertiary hospital in South Africa.

Autor: OLADIPUPO, R. V., BEZUIDENHOUT, S., HELBERG, E.
Předmět:
Zdroj: African Journal for Physical, Health Education, Recreation & Dance; 2015 Supplement2:2, p343-353, 11p, 6 Charts
Abstrakt: Studies have shown how difficult it can be to have a proper patient referral system operating smoothly, especially when not well supported by all stakeholders and/or when patients by-pass the system. This study sought to explore possible reasons contributing to the success or failure of the down referral system of stable chronic patients at Dr George Mukhari Academic Hospital (DGMAH). A quantitative, descriptive study was conducted in which a structured self-designed questionnaire was used for data collection. The target population included all the medical doctors from the identified outpatient clinics at DGMAH that down refer patients. Only 30.5% of the doctors referred to the Standard Treatment Guidelines/Essential Medicine List (STGs/EML) before they prescribe treatment for patients; 77.9% of the doctors have not seen the down referral circular; 76% of the doctors are down referring less than ten patients per week; 40% of the doctors reported the lack or shortage of medication at PHC clinics as a major challenge. The low use of STGs and EML by the doctors and unavailability of medicine at PHC clinics were the major contributory factors for the possible failure of the down referral system. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index