All intervention centres had implemented multi-professional teams, appointed team managers and held regular meetings but struggled to implement a referral structure that was used consistently among staff.
In addition, intervention centres struggled to implement a referral structure that was used consistently among staff, which could have reduced opportunities for coordinated care.
For example, the project trained CHOs in strategies for saving newborn lives and implemented a referral system to manage complicated cases.
Furthermore, ETDZ and Shangcai officially implement a "referral model", by referring patients who need more complex treatment and care to designated higher-level hospitals (either at the county- or municipal-level).
Audio-recorded interviews consisted of nine questions that covered the following topics: drivers for implementing an electronic referral, consult, or integrated eCR system, facilitators and barriers to implementation, evaluation metrics, and key lessons learned (Additional file 1: Table S1).
With several different eCR models from which to choose, health care leaders interested in implementing an electronic referral or consultation systems would be wise to begin with a clear understanding of their organization's challenges and what problems they are seeking to address with an eCR.
Further, PCC implemented a rapid referral process which has increased mammography screening among Montgomery Care patients.
The main aims of FM system are to provide primary healthcare services to people in need with an easy access to health service utilization and to implement a reasonable referral system that is expected to avoid excessive workload and help to allot adequate time for patients in secondary healthcare level [ 8, 20, 21].
Successfully implementing a routine HIV testing referral program for the approximately 1.8 million people starting TB treatment each year in India will require a major commitment.
The other is to implement a better referrals system where today there is none.
