International Journal of Advanced Community Medicine
Login     Signup
International Journal of Advanced Community Medicine
Vol. 4, Issue 4, Part A (2021)

Referral patterns at a regional faith-based hospital in Western Kenya

Author(s): Dr. Alex Momanyi Oyagi, Dr. Olivia Chesikaw Kaptuya, Dr. Gloria Kouko Kayo and Dr. Philip Blasto Ooko
Abstract: Aim: To assess the pattern and quality of patient referral at a regional faith-based hospital in Western Kenya.
Methods: A prospective non-randomized study of patients referred into and out of Litein hospital from 1st June through 31st December 2016.
Results: A total of 4,683 patients were admitted during the study period, with 147 `received referral' cases and 106 `sent referral' cases noted, with a referral rate of 3.1%. The majority of the received referrals were formal in nature (76%), initiated by doctors or clinical officers (74%), and had patient/relative input regarding the hospital to refer to (70%). The referral notes were mostly structured (90%) and legible (83%). Advice from the health care professional in the referring facility (36%, n=53), perceived good quality of care (21%, n=31), and presence of a valid insurance cover (8%, n=12) were the main reasons indicated by the patients for choosing our facility.
The “sent referrals” were mainly due to need for specialized care (89%) or for proximity to family members/home (6%, n=6). Only 9% of the patients/relatives indicated that there was a significant delay in the initiation and execution of their referral from AIC Litein hospital. The referrals were initiated, predominantly, from the surgical departments (62%, n=66).
Conclusion: The referrals to Litein Hospital, while comprising a minority of the patients admitted, were predominantly formal in nature, mostly initiated by medical personnel with the family members involved in decision making regarding the facility to be referred to.
Pages: 36-40  |  197 Views  80 Downloads
How to cite this article:
Dr. Alex Momanyi Oyagi, Dr. Olivia Chesikaw Kaptuya, Dr. Gloria Kouko Kayo, Dr. Philip Blasto Ooko. Referral patterns at a regional faith-based hospital in Western Kenya. Int J Adv Community Med 2021;4(4):36-40. DOI: 10.33545/comed.2021.v4.i4a.213
International Journal of Advanced Community Medicine