Improving Referral Feedback in Daye Primary Hospital, Sidama Region, Southern Ethiopia
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Date
2021-07
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Addis Abeba University
Abstract
Background: Referral is a two way process and ensures that a continuum of care is maintained to patients or clients. Referral system is a process by which a health provider transfers the responsibility of care temporarily or permanently to another health professional or social worker or to the community in response to its inability or limitation to provide the necessary care. It is done from the community to the primary care health service and to hospitals and within hospitals and vice versa. It also involves not only direct patient care but support services such as transport and communication. And once the care is completed, the receiving unit shall return the patient back to referring unit with timely referral feedback. This system is not practiced in Daye primary Hospital and uniformly.
The objectives: To improve referral feedback in Daye primary hospital, in Sidama regional state, southern Ethiopia.
Method: A pre-post intervention study to patients who were referred to Daye primary Hospital received referral feedback when referred back to the referring unit. A chart audit was conducted to calculate the percentage of completion of referral feedback forms and checklist was prepared to collect the information during chart auditing. The sample size was 62 chart audits referred in during pre intervention and post intervention.
The reliability of the items in the check list was tested and revised. During the
actual data collection process check the data collectors by randomly taking medical records with the checklist. Ethiopian hospital key performance indicator/KPI/ formula was used to analyses the difference between the pre-post intervention change in percentage the pre-post intervention change in percentage of referral feedback given (KPI 39) .
Result: Pre intervention revised documents 62 medical records contained completed referral feedback from upon discharged (0%). A total of 68 referred patients were registered. All patients had referral paper (100). Fifty three of the discharged patient’s documents contained the completed and gave referral feedback forms (77.9%) to refer health facilities
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Keywords
Referral system,Referral feedback