Whereas referral of complicated labors from homes to PHC clinics was a possibility in the current study, however in Nigeria the usual flow of referral is from homes to hospitals and from PHC clinics to hospitals.
This difference may be due to the flow of high proportion of referral and nonreferral patients for availability of extrapulmonary TB diagnosis facility at Bahir Dar where the referral hospital is located.
Figure 3 shows the flow of cases into the referral system before and after consideration by the panel.
Mortgage lenders are both referrers and recipients of referrals.
Conversely, these limitations realistically mimic the complexity of information flow and referral data for this group of individuals.
Our material consisted of patients derived from the patient flow of pulmonary clinics in two large referral hospitals.
More effective providers will be given progressively more referrals, by reallocating the flow of beneficiaries over time, while ineffective providers will see their client base decrease.
According to the staff that we interviewed, there is limited interaction between primary, secondary and tertiary levels in terms of information flow, case finding, referrals, training, feedback and supervision.
