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The main object is to study the function of referral letters as a means to coordinate the care process for adults when referred from Primary Care to Specialised Mental Health Care.
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Non-physicians reported fewer such referrals, more use of referral guidelines and more weight on radiation dose.
In-depth interviews (IDIs) with healthcare providers will explore the functioning of the referral system and the use of hospital referral by households.
Healthcare providers identified lack of transportation and communication infrastructure and overcrowding at the referral hospital as challenges for the smooth functioning of the referral network, as well as insufficient pre-service and in-service training in obstetric emergencies, and lack of supportive supervision as barriers to the provision of timely, quality emergency obstetric care.
However, limited information was available to assess the functioning of the referral processes.
There were no routine mechanisms to monitor the functioning of the referral process (COPC review group: Unpublished report; 2010).
Key informant interviews (KIIs) with policymakers will probe into general access to hospital care in Timor-Leste and the functioning of the referral system.
The study revealed significant disappointments among caretakers with regard to the quality of services offered at PHC facilities in their areas, with implications for their utilization and proper functioning of the referral system.
This study aimed to understand issues with the functioning of the referral system for children in Afghanistan, a fragile state with a recently rebuilt public health system, and to identify factors that might influence referral compliance of sick children to higher-level health facilities.
All of these interventions could contribute to smoother functioning of the referral system and reduce the number of women who visit multiple hospitals while in labor, as well as reducing the probability of women giving birth in transit or at home after seeking facility-based care.
According to healthcare providers, investments in transportation and communication infrastructure, in-service training in BEmONC, and supportive supervision are priorities to support the functioning of the referral system and to improve the timely delivery of quality of emergency obstetric care in Addis Ababa, now and in the future.
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