The modern approaches to rating of medical organizations on the basis of strategy of sustainable development of health care institution

Bravve, Yu I; Щепин, В О; Tolstova, K S; Latukha, O A

doi:10.32687/0869-866x-2022-30-1-116-122

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“…Creating an accessible and quality health system is the most important part of a sustainable health system. Optimization of health service delivery and establishment of a referral system ensures improvement of medical services and increased service quality through resource management [ 1 ]. Optimizing this structural chain of referrals between primary care centers and advanced care centers is important as mishandled referrals can cause delay in specialist care or unnecessary resource allocations for patients who could have been handled at primary care centers with ease [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

An Analysis of Referrals Done by Primary Care Centers to Tertiary Care Institutions

Yazıcı,

Bala,

Basa Kalafat

et al. 2024

Cureus

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Background and aim Primary care is an important element for every healthcare system around the world. Providing and optimizing the connection between the primary care centers and advanced clinical centers is a key concept for a well-functioning healthcare system. Our aim in this study was to analyze and review the referral data of primary care centers located in Ankara, Türkiye. Materials and methods We collected the entire referral data from the primary care centers, totaling 8,746 patients between January 1, 2019 and December 31, 2023 by using emergency medical services (EMS) transfer in Ankara. Demographic data, call reasons, transfer centers and transfer-related characteristics of the patients were recorded retrospectively, grouped by year, using EMS data. Results Our findings have shown that most of the referrals were made for Turkish citizens with 8,360 (95.6%) (p<0.001). Healthcare centers located in inner city had the most referrals made with 7,087 (81.0%) (p<0.001). Majority of the referrals were made by physicians in family healthcare centers with 6,583 (75.3%) (p<0.001) with chest pain being the most common diagnosis for referral initiation with 1,429 (16.3%) (p<0.001). This was followed by trauma, with 1,172 (13.4%) (p<0.001). Most common cause for trauma was falls with 613 (52.3%) (p<0.001). Conclusion Our data revealed important elements of local referral patterns. According to our data, majority of the referrals were made by inner city healthcare facilities. Family healthcare centers formed most of the referral requests. For this reason, strengthening these centers is important to prevent unnecessary resource use and delays.

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Section: Introductionmentioning

confidence: 99%