BMC Health Services Research (Jun 2021)

Self-referral and associated factors among patients attending adult outpatient departments in Debre tabor general hospital, North West Ethiopia

  • Tigist Misganaw Abere,
  • Desta Debalkie Atnafu,
  • Yaread Mulu

DOI
https://doi.org/10.1186/s12913-021-06642-7
Journal volume & issue
Vol. 21, no. 1
pp. 1 – 8

Abstract

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Plain English summary An effective referral linkage is an integral component of a successful health care system for quality health service. Many developing countries have policies regarding referral system while transforming referral policies into practice between primary health care (PHC) facilities and higher-level facilities is challenging. This study was trying to answer the magnitude and factor associated with self-referral through structured interview questionnaires. The participants were asked about their socio-demographic characteristics, institutional related characteristics. There were 690 participants in this study. This study showed that the magnitude of self-referral was 63.9%. Educational status, knowledge about referral system, availability of medication in the nearby PHC facilities, enrollment to CBHI and history of visiting general hospital were factors significantly associated with self-referral. In conclusion, the proportion of self-referral was low compared to the Ethiopian health sector transformation plan 2015/16–20. Educational status, knowledge about referral system, availability of medication in the nearby PHC facilities, enrollment to CBHI and history of visiting general hospital were associated with self-referral. Policy action will be required to further improve ANC service utilization.

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