Abstract
Background: Regionalization envisages a two-way flow of Patients & Services designates as “Referral in” and “Referral out” cases. “Referral in” generally means Patients from Sub center, Primary Health Centre, & Community Health Centre Referred to District Hospital for Specialized care.” Referred out” generally means Patients from District Hospital to Higher Centers like Medical College & other Postgraduate Institutions for Super Specialized Treatment.
Methodology: A prospective study was undertaken at district hospital with data collected for a 12-month period (MAY 2013 - APRIL 2014) to study (1) the rate of Referrals in a District Hospital & (2) Factors responsible for increased Referrals.
Results: Absence of Radiologist, Lack of Anesthetist, Shortage of rare Blood groups in Blood bank, Lack of Sophisticated Ventilators support, Cardiac monitors, Dialysis facilities, etc. have been the Major Factors for increased “Referral out” cases to Medical College.
Conclusion: Too much “Referral in” cases from all the PHC’s & CHC’s to District Hospital Cause Exhaustion of local supplies & Quality of Patient care suffers. Frequent “Referral out” cases add up to Fuel wastage & Pilferage resulting in Professional Misconduct & misuse of Ambulance services.
Keywords: Hospital, Regionalization, Referral, Radiologist, Anesthetist, Ventilators, Pilferage.
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Corresponding Author
Dr Shahid Anjum
MBBS, MS, FIAGES, In charge Casualty Medical Officer, District Hospital Rajouri
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.46
