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It is also possible that current managed health care system with complicated referral process and the limited time to interface with parents may have contributed to the lower physician referral to specialists for ASD.
Topics covered in these IDIs included the number of babies they had referred, a detailed narrative of the most complicated referral, family reactions to the visits and the referrals, their perceptions on barriers and facilitating factors to families compliance, care provided to referred babies as reported by families, and their experiences at the follow-up visits.
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The addition of over-the-counter medicines to future survey tools should be discussed, since the patient's motive in taking them is the same: to get relief from symptoms without complicated referrals or medical consultations.
Tertiary care providers are often at the receiving end of inappropriate or delayed treatment and referrals: higher maternal mortality rates in major referral hospitals in Mumbai have been attributed to the large number of complicated referrals they receive [ 54, 59, 62].
Challenges in securing transportation complicate referrals and contribute to delays in providing emergency obstetric services.
Clearly, making a decision on whether a child needs admission is challenging and such disagreement can complicate referrals.
Only half of the respondents (51%%; n = 123) perceived them as clear, the remainder considered that it complicated the referral process (20 %; n = 48) or set the bar for referral too high (16 %; n = 39).
Need to improve referral for complicated deliveries.
Fifth, the discrepancy in the diagnosis of STIs between programme clinics and referral clinics complicated the analyses that were restricted to the period between April 2005 and July 2008.
Their training lasts around two months and enables them to follow up clients on ART at home, including the delivery of ARVs, provision of home-based care and counselling and referral of complicated patients.
Effectiveness - Increase investment in IMCI at the CSCOM level is necessary to ensure a strong continuum of care, starting at the community level, and to ensure that the CSCOMS are fully equipped to handle referrals and complicated cases.
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