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Journal articles on the topic 'Regional Referral Hospitals'

Author: Grafiati
Published: 2 June 2025
Last updated: 31 July 2025

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1

Gustina, Ravia, Andi Subandi, and Dini Rudini. "Phenomenological Study of Emergency Ambulance Transport Referral Process at RSUD Raden Mattaher Jambi Province." West Science Interdisciplinary Studies 2, no. 11 (2024): 2124–29. https://doi.org/10.58812/wsis.v2i11.1397.

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As a regional general hospital, Raden Matthaer Regional Hospital is of course the main destination for people to go for treatment. Limited facilities are one of the obstacles to patient service, quite a few patients who have received treatment at Raden Mattaher Hospital are referred to other hospitals to continue treatment. Referrals are not only made within the city but also to hospitals outside the city. Referral of patients to hospitals outside the city when services are not available at hospitals in Jambi. During the referral process, of course, ambulance transportation is required. Using
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2

Ishijima, Hisahiro, Shuichi Suzuki, Fares Masaule, Violeth Mlay, and Raynold John. "Measuring hospital performances of regional referral hospitals in Tanzania." Journal of Hospital Administration 10, no. 2 (2021): 1. http://dx.doi.org/10.5430/jha.v10n2p1.

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In Tanzania, regional referral hospitals (RRHs) play a major role in providing curative and diagnostic services and influence the performance of the entire health system. The results of a baseline survey conducted in 2015 to determine the status of RRHs in Tanzania indicated that there were many supportive supervisory and assessment tools for RRHs but none of them specifically focused on the performance of hospitals. In an endeavor to enhance the performance of RRHs, the Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) and the President Office – Regional Admin
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3

Dorji, Thinley, Choeda Gyaltshen, Umesh Pradhan, et al. "Immigration medical examination at the Regional Referral Hospitals: strengthening health system capabilities." Bhutan Health Journal 10, no. 1 (2024): 3. http://dx.doi.org/10.47811/bhj.166.

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Bhutan has a three-tiered healthcare system with the majority of services remaining Thimphu-centric. At the height of public demand for Immigration Medical Examination services, the two regional referral hospitals put in their efforts to establish the services in Gelephu and Mongar. The Regional Referral Hospitals enabled accessibility to IME services and improved efficiency at the National Referral Hospital by decongesting the number of clients. In this article, we describe how the regional referral hospitals established IME services that meet the standards of the destination country.
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Wabuna, David Percy. "Administrative Factors Influencing Employee Performance in Regional Referral Hospitals: A Case Study of Hoima Regional Referral Hospital, Uganda." IDOSR JOURNAL OF SCIENTIFIC RESEARCH 9, no. 2 (2024): 13–18. http://dx.doi.org/10.59298/idosrjsr/2024/9.2.1318.100.

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This study examines the administrative factors affecting employee performance at Hoima Regional Referral Hospital in Uganda. Utilizing a correlational study design, both quantitative and qualitative methods were employed to gather comprehensive data. From a population of 394, a sample size of 198 participants was selected using simple random and purposive sampling techniques. Data collection involved questionnaires and interviews, with quantitative data analyzed through descriptive and inferential statistics and qualitative data through thematic analysis. Findings revealed a moderate positive
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Halim, William. "NUMBER OF OPERATIVE ACTIONS AND REFERRALS TO GYNECOLOGY CASES AT MALINGPING HOSPITAL 2020-2022." Jurnal Impresi Indonesia 3, no. 1 (2024): 25–30. http://dx.doi.org/10.58344/jii.v3i1.4579.

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Almost every woman has experienced a gynecological condition in her life. Access to quality and adequate health services for women is one of the Indonesian government's national programs. The main aim of this study is to assess the number of procedures and referrals for gynecological cases at the Malingping Regional General Hospital (RSUD) from 2020 to 2022. This research is a retrospective descriptive study. The target population includes all gynecology patients in outpatient clinics. In contrast, the accessible population is all gynecology patients undergoing outpatient treatment at Malingpi
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6

van Munster, Juliëtte J. C. M., Joost J. G. Wammes, Rolf H. Bremmer, et al. "Regional and hospital variation in commonly performed paediatric otolaryngology procedures in the Netherlands: a population-based study of healthcare utilisation between 2016 and 2019." BMJ Open 11, no. 7 (2021): e046840. http://dx.doi.org/10.1136/bmjopen-2020-046840.

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ObjectiveIn the past few decades, there has been an increase in high-quality studies providing evidence on the effectiveness of commonly performed procedures in paediatric otolaryngology. We believe that now is the time to re-evaluate the care process. We aimed to analyse (1) the regional variation in incidence and referrals of adenoidectomies, tonsillectomies and ventilation tube insertions in children in the Netherlands between 2016 and 2019, (2) whether regional surgical rates, referral rates and in-hospital surgical rates were associated with one another, and (3) the hospital variation in
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7

Jithoo, R., P. V. Govender, P. Corr, and N. Nathoo. "Telemedicine and neurosurgery: experience of a regional unit based in South Africa." Journal of Telemedicine and Telecare 9, no. 2 (2003): 63–66. http://dx.doi.org/10.1258/135763303321327894.

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We carried out a retrospective analysis of all emergency referrals to the neurosurgery department of the Wentworth Hospital from 1996 to 1999. The hospital provided a service to seven peripheral hospitals with computerized tomography (CT) scanners and 46 hospitals without, in the province of KwaZulu Natal. By the end of the study, six of the hospitals with CT scanners had facilities for teleradiology and the mean patient return rate had fallen to 17%. In comparison, almost half the patients seen from the hospitals with no CT scanners were returned to hospital after assessment at the Wentworth
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8

Kassa, Mamo, Farai Madzimbamuto, Gaone Kediegite, and Eugene Tuyishime. "Regional anaesthesia practice in public hospitals in Botswana: A cross-sectional study." PLOS ONE 18, no. 12 (2023): e0295932. http://dx.doi.org/10.1371/journal.pone.0295932.

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Introduction Little is known about the regional anesthesia practice in low resources settings (LRS). The aim of this study was to describe the regional anesthesia capacity, characteristics of regional anesthesia practice, and challenges and solutions of practicing safe regional anesthesia in public hospitals in Botswana. Methods This was a cross-sectional survey of anesthesia providers working in public hospitals in Botswana. A purposive sampling method of public hospitals was used to achieve representation of different hospital levels across Botswana. Paper-based questionnaires were sent to a
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9

Zulharryansah Mesir Siregar and Zoraya Alfathin Rangkuti. "Implementation of An Integrated Referral System (Sisrute) In Improving Health Service Referrals at Rumah Sakit Umum Pusat (RSUP) H. Adam Malik Medan." Journal of Law, Politic and Humanities 4, no. 5 (2024): 1285–95. https://doi.org/10.38035/jlph.v4i5.503.

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The Integrated Referral System (SISRUTE) is a service using internet-based information technology that can connect patient data from lower service levels to higher or equivalent service levels (horizontal or vertical) with the aim of simplifying and speeding up the patient referral process. Rumah Sakit Umum Pusat (RSUP) H. Adam Malik Medan is one of the hospitals that has implemented SISRUTE, namely in 2021. The method used in this study is a descriptive method with a qualitative approach. The data collection techniques are interviews, observations and documentation. The results showed that th
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10

Kacholi, Godfrey, and Ozayr H. Mahomed. "Sustainability of quality improvement teams in selected regional referral hospitals in Tanzania." International Journal for Quality in Health Care 32, no. 4 (2020): 259–65. http://dx.doi.org/10.1093/intqhc/mzaa032.

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Abstract Objective The aim of this study was to determine the sustainability of hospital quality improvement teams and to assess factors influencing their sustainability in the regional referral hospital in Tanzania. Design A cross-sectional study was conducted between April and August of 2018. Setting and participants The study was conducted in four selected regional referral hospitals in Tanzania. All members of the quality improvement teams available during the study period were recruited. Intervention Quality improvement teams and their activities. Main outcome measure The primary outcome
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Obayo, Siraji, Luswa Lukwago, Jackson Orem, Ashley L. Faulx, and Christopher S. Probert. "Gastrointestinal malignancies at five regional referral hospitals in Uganda." African Health Sciences 17, no. 4 (2018): 1051. http://dx.doi.org/10.4314/ahs.v17i4.13.

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12

Iesalnieks, I., A. Adamou, M. Bercher, and K. Streetz. "P606 Significant regional differences in referral patterns for bowel resection in Crohn’s disease patients." Journal of Crohn's and Colitis 17, Supplement_1 (2023): i733—i734. http://dx.doi.org/10.1093/ecco-jcc/jjac190.0736.

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Abstract Background Preoperative factors - mainly patients’ condition and disease phenotype – are main determinants of postoperative outcome. However, those factors might be strongly dictated by regional traditions and treatment patterns of referring gastroenterologists. The present prospective observational study compared two German IBD-referral centers located in two different geographical regions regarding patients’ characteristics and postoperative outcome. Methods Consecutive patients referred to undergo intestinal resections at two different regional centers of IBD-surgery were included
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Seni, Jeremiah, Siana G. Mapunjo, Rachel Wittenauer, et al. "Antimicrobial use across six referral hospitals in Tanzania: a point prevalence survey." BMJ Open 10, no. 12 (2020): e042819. http://dx.doi.org/10.1136/bmjopen-2020-042819.

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ObjectiveTo delineate the prevalence and factors associated with antimicrobial use across six referral hospitals in Tanzania using WHO point prevalence survey (PPS) methodology to inform hospital-specific antimicrobial stewardship programmes.DesignCross-sectional analytical study.SettingSix referral hospitals in Tanzania.ParticipantsPatients irrespective of age and gender (n=948) admitted in the six referral hospital wards before 8:00 hours on each day of the survey were included in December 2019. Using the WHO PPS methodology, data on hospitals, wards, patients, antibiotics, and indications f
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14

Long, Donlin M., Toby Gordon, Helen Bowman, et al. "Outcome and Cost of Craniotomy Performed to Treat Tumors in Regional Academic Referral Centers." Neurosurgery 52, no. 5 (2003): 1056–65. http://dx.doi.org/10.1093/neurosurgery/52.5.1056.

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Abstract OBJECTIVE Improved clinical and economic outcomes for high-risk surgical procedures have been previously cited in support of regionalization. The goal of this study was to examine the effects of regionalization by analyzing the cost and outcome of craniotomy for tumors and to compare the findings in academic medical centers versus community-based hospitals. METHODS Outcomes and charges were analyzed for all adult patients undergoing craniotomy for tumor in 33 nonfederal acute care hospitals in Maryland using the Maryland Health Service Cost Review Commission database for the years 199
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15

Akré, Ellesse-Roselee L., Deanna Chyn, Heather A. Carlos, Amber E. Barnato, and Jonathan Skinner. "Measuring Local-Area Racial Segregation for Medicare Hospital Admissions." JAMA Network Open 7, no. 4 (2024): e247473. http://dx.doi.org/10.1001/jamanetworkopen.2024.7473.

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ImportanceConsiderable racial segregation exists in US hospitals that cannot be explained by where patients live. Approaches to measuring such segregation are limited.ObjectiveTo measure how and where sorting of older Black patients to different hospitals occurs within the same health care market.Design, Setting, and ParticipantsThis retrospective cross-sectional study used 2019 Medicare claims data linked to geographic data. Hospital zip code markets were based on driving time. The local hospital segregation (LHS) index was defined as the difference between the racial composition of a hospita
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Selemani, Shekha, Michael O. Mwakyusa, Selemani Bashiri, et al. "“Are all referrals necessary?” Experiences and perceptions of maternity healthcare providers on emergency intrapartum referrals in Dar es Salaam, Tanzania." PLOS ONE 19, no. 2 (2024): e0298103. http://dx.doi.org/10.1371/journal.pone.0298103.

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Background Intrapartum continuity of care to reduce maternal morbidity and mortality relies heavily on a functional and effective referral system between tiers of care. Capacity building of providers in managing intrapartum referrals is expected to improve the efficiency of the referral system, but this does not always work in practice. This study explored the experiences and perceptions of maternity healthcare providers on emergency intrapartum referrals in Dar es Salaam, Tanzania. Methods An exploratory qualitative study was conducted at Amana Regional Referral Hospital and Muhimbili Nationa
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Ishijima, Hisahiro, Masashi Teshima, Yasuko Kasahara, Noriyuki Miyamoto, Fares Masaule, and Raynold John. "Comprehensive approach for strengthening the management of regional referral hospitals in Tanzania." Journal of Hospital Administration 9, no. 5 (2020): 1. http://dx.doi.org/10.5430/jha.v9n5p1.

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Hospital managers in Tanzania have always been expected to manage and deliver quality services to patients under resource constrained situation. In the organizational structure of regional referral hospitals (RRHs) in Tanzania, including, clinicians with very limited knowledge of and skills in management hold over 80% of the managerial positions. The Ministry of Health, Community Development, Gender, Elderly and Children of Tanzania has identified the strengthening of management at RRHs as a key to improving efficiency and effectiveness in health service delivery. The ministry launched a five-
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18

Andrew, Niwagira. "Factors Influencing Pueperal Sepsis among Postpartum Women at Hoima Regional Referral Hospital, in Hoima District Western Uganda." IDOSR JOURNAL OF SCIENTIFIC RESEARCH 8, no. 3 (2023): 14–25. http://dx.doi.org/10.59298/idosrjsr/2023/00.2.6000.

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The main objective of the study was to identify factors influencing puerperal sepsis among post-partum women at Hoima regional referral hospital, in Hoima district, Western Uganda. The specific objectives were; To determine the prevalence of puerperal sepsis at Hoima regional referral hospital, to assess the social demographic factors affecting puerperal sepsis at Hoima regional referral hospital, to determine Patients factors affecting puerperal sepsis at Hoima regional referral hospital and to determine the healthcare factors affecting the prevalence of puerperal sepsis at Hoima regional ref
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19

Nabimanya, Daniel, Richard Sembatya, Ambrose Atuhaire, and Phelix Businge Mbabazi. "Patients’ Health Records Management in Ugandan Hospitals: A Case of Kabale Regional Referral Hospital." International Journal for e-Learning Security 9, no. 1 (2020): 631–40. http://dx.doi.org/10.20533/ijels.2046.4568.2020.0079.

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20

Chuwa, S., M. Chiduo, and B. Sylvester. "Fetal-Maternal Outcomes of Induction of Labour Among Women Delivered at Regional Referral Hospitals In Dar Es Salaam Tanzania." AFRICAN JOURNAL OF APPLIED RESEARCH 8, no. 2 (2022): 240–47. http://dx.doi.org/10.26437/ajar.31.10.2022.16.

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Purpose: Africa has a very low rate of induction of labour with high maternal and perinatal morbidity and mortality. However fetal-maternal outcomes following induction of labour are not well documented in Tanzania. This study aimed to assess fetal-maternal outcomes following induction of labour among women delivered at Dar es Salaam regional referral hospitals in Tanzania.
 Design/methodology/Approach: A total of 301 expectant mothers were recruited in a prospective observational study conducted at all regional referral hospitals in Dar es Salaam, Tanzania. Data on fetal-maternal outcome
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21

Ajiko, Mary Margaret, Julia Kressner, Alphonsus Matovu, P. Nordin, Andreas Wladis, and Jenny Löfgren. "Surgical procedures for children in the public healthcare sector: a nationwide, facility-based study in Uganda." BMJ Open 11, no. 7 (2021): e048540. http://dx.doi.org/10.1136/bmjopen-2020-048540.

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ObjectiveThis study investigated the surgical services for children at the highest levels of the public healthcare sector in Uganda. The aim was to determine volumes and types of procedure performed and the patients and the human resource involved.DesignThe study was a facility-based, record review.SettingThe study was carried out at the National Referral Hospital, all 14 regional referral hospitals and 14 general hospitals in Uganda, representing the highest levels of hospital in the public healthcare sector.ParticipantsThe subjects were children <18 years who underwent major surgery in th
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Quene, Tamlyn Mac, Clara Zhu, Eyitayo O. Owolabi, Heather Bougard, Riaan Duvenage, and Kathryn M. Chu. "Referral of District Level Operations to Regional Hospitals in South Africa." Journal of Surgical Research 278 (October 2022): 149–54. http://dx.doi.org/10.1016/j.jss.2022.04.047.

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23

Kavuta, Karisha, and Peter Charles. "The Assessment of the Usability of Health Information Systems in Referral Hospitals in Tanzania: A Case of Geita Regional Referral Hospital." Journal of Informatics 3, no. 1 (2023): 68–83. http://dx.doi.org/10.59645/tji.v3i1.108.

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This study assesses the usability of the health information system in referral hospitals in Tanzania. The study divided the research participants into two strata, including service providers and service recipients, to ensure balanced opinions. The participants were obtained using a simple random sampling technique. The mixed-research approach was applied to collecting both quantitative and qualitative data. A questionnaire and an unstructured interview guide were used in data collection. The findings revealed that the usability of the health information system at Geita regional referral hospit
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Habi, Raphael, and Emmanuel Matiku. "Institutional Framework as a Determinant of Variations in Service Quality Between Public and Private Hospitals in Tanzania." Annales Universitatis Mariae Curie-Skłodowska, sectio H – Oeconomia 57, no. 3 (2023): 99–122. http://dx.doi.org/10.17951/h.2023.57.3.99-122.

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Purpose of the article: This study was set to determine the influence of institutional framework on service quality in both private and public hospitals. The paper sought to establish the perception of respondents regarding the institutional factors that explain the existence of variations in service quality between public and private hospitals. The institutional framework aspects that were considered in comparing health service quality in public and private hospitals were: institutional culture, control, stability and structure. A descriptive survey design was used because the study sought to
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Syukriani, Yoni Fuadah. "Academic Health System in West Java in Strengthening Primary Health Care." Journal of Midwifery 5, no. 1 (2021): 71. http://dx.doi.org/10.25077/jom.5.1.71-80.2020.

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Academic Health System (AHS) has been developed in many countries to strengthen the relationship between medical education and health professions with the health care system, which is essential to improve health outcome. Indonesia has chosen to establish AHS in several provinces, each with the autonomy to develop the system in accord with regional needs. Health cluster faculties in Universitas Padjadjaran, with its two main teaching hospitals, the West Java provincial government strived to develop AHS to overcome health services problem and medical education in the province that has enormous g
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Heimly, Vigdis. "Standardization, innovation and deployment of electronic referral software in Norway." Journal of Telemedicine and Telecare 14, no. 7 (2008): 359–62. http://dx.doi.org/10.1258/jtt.2008.007008.

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The introduction of electronic referrals in Norway started in 1996, when the first standard for an electronic referral was developed. Subsequent implementations of electronic health record (EHR) systems have been tested by a national testing and approval service. Almost all the Norwegian EHR systems comply with the recommended standards, but the volume of electronic referrals remains low: only 8200 referrals were sent electronically in September 2007. In comparison, 125,000 electronic discharge summaries were sent during the same month. There are four elements that need to be in place before s
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Iyer, Hari S., Nicholas G. Wolf, Edda Vuhahula, et al. "Geographic Variation in Access to Pathology and Laboratory Services in Tanzania: A Cross-Sectional Geospatial Analysis." JCO Global Oncology 6, Supplement_1 (2020): 45. http://dx.doi.org/10.1200/go.20.41000.

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PURPOSE Increasing noncommunicable disease burden in sub-Saharan Africa requires the urgent scale-up of pathology and laboratory medicine (PALM) services. To identify service gaps at the district level, we studied geographic variation in the correlation between travel time to health facilities and population density. METHODS We linked geospatial data for Tanzania from multiple sources. Facility locations were extracted from a comprehensive facility list in Africa. Data on geographic factors, demographics, and roads were collected from government and nonprofit databases. We classified facilitie
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Nseyo, Unwanaobong, Meena N. Cherian, Michael M. Haglund, et al. "Surgical Care Capacity in Uganda: Government Versus Private Sector Investment." International Surgery 102, no. 7-8 (2017): 387–93. http://dx.doi.org/10.9738/intsurg-d-16-00153.1.

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Background: Uganda is a low-income country with blended, tiered government health care facilities and private/non-governmental (NGO)/mission hospitals. The population is 84% rural; 100% of referral hospitals and majority of specialist physicians are urban. Summary of background data: This project compared various levels of government hospitals with private/NGO hospitals to determine adequacy to deliver emergency and essential surgical care (EESC) and anesthesia. Methods: Using the WHO Situational Analysis Tool, a representative selection of 38 hospitals (25% of Ugandan hospitals) was assessed
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Vukey, Enoch Yao, Gloria Ntow-Kummi, and Aaron Asibi Abuosi. "Assessing the efficiency of regional hospitals in Ghana: Implications for optimal resource allocation for referral hospitals." Scientific African 21 (September 2023): e01847. http://dx.doi.org/10.1016/j.sciaf.2023.e01847.

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Akida, Mkiwa, Leonard Malasa, Ayam Kalingonji, et al. "Prevalence and Factors Associated with Hypothermia among Neonates in Regional Referral Hospitals in Dar es Salaam, Tanzania." Global Journal of Health Science 14, no. 11 (2022): 37. http://dx.doi.org/10.5539/gjhs.v14n11p37.

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BACKGROUND: Neonatal hypothermia is a major cause of mortality. This study determined the prevalence and factors associated with neonatal hypothermia in two regional referral hospitals in Dar es Salaam, Tanzania.
 
 METHODS: Cross-sectional study was carried out between March and May 2021 at the Mwananyamala and Temeke Regional Referral Hospitals. Simple random and stratified sampling procedures were used to select study sites and proportionate population samples from each hospital respectively. Body temperature was measured within 90 minutes post birth; knowledge of the WHO guidelin
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Moragues, Alexandre, Joana Maria Seguí-Pons, Antoni Colom Fernández, and Maurici Ruiz-Pérez. "Analysis of Road Accessibility by Residents and Tourists to Public Hospitals in Mallorca (Balearic Islands, Spain)." Sustainability 15, no. 10 (2023): 8182. http://dx.doi.org/10.3390/su15108182.

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Accessibility to public hospital services is crucial for healthcare provision, particularly in regions characterized by high tourist presence, such as the Mediterranean islands. This study aims to assess the accessibility of public hospital services in Mallorca, considering access time, the geographic distribution of the resident population, and tourist accommodations. A GIS-based analysis using optimal routing algorithms and the Gini index was conducted to examine the equity in the distribution of regional and reference hospitals across four Health Sectors: Ponent, Migjorn, Tramuntana, and Ll
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Belayneh, Melesse. "Patient Waiting Time and its Determinants in the General Outpatient of Debre Markos and Felege Hiwot Referral Hospitals Amhara Regional State, Ethiopia." ABC Research Alert 3, no. 3 (2015): Ethiopia. http://dx.doi.org/10.18034/ra.v3i3.297.

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Patient waiting time is defined as the total time from registration until consultation with a doctor. Experiences of waiting in general are perceived as complex, subjective, and culturally influenced. Registration time, payment process/cash billing, recording classification/triaged time, few human resources and work process are the determinants of patient waiting time in the general outpatient departments. However, the complexity of wait time is poorly understood and has been explored only to a limited extent. Objective: To assess patient waiting time and its determinants in Debre Markos and F
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Kacholi, Godfrey, and Ozayr H. Mahomed. "Perceptions of hospital staff on the performance of Quality Improvement teams in the regional referral hospitals in Tanzania: A cross sectional study." PLOS ONE 16, no. 2 (2021): e0246927. http://dx.doi.org/10.1371/journal.pone.0246927.

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Background To ensure patient-centered quality care for all citizens, Quality Improvement (QI) teams have been established across all public hospitals in Tanzania. However, little is known about how hospital staff perceive the performance of hospital QI teams in Tanzania. This study assessed the perceptions of hospital staff of the performance of QI teams in selected regional referral hospitals in Tanzania. Methods This cross-sectional study was conducted in four selected regional referral hospitals between April and August 2018. A self-administered questionnaire was used to collect data from 3
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Imilda, Tjut Ira Rizki Andalia, and Adi Ahmad. "Analisis Pengaruh Penerapan Sistem Informasi Rujukan Terintegrasi (Sisrute) Terhadap Kinerja Karyawan Rsud Meuraxa Kota Banda Aceh." Jurnal Sistem Komputer (SISKOM) 4, no. 2 (2024): 115–25. https://doi.org/10.35870/siskom.v4i2.817.

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This research aims to analyze the effect of implementing the Integrated Referral Information System (SISRUTE) on employee performance at Meuraxa Regional Hospital, Banda Aceh City. In the context of developments in information technology, SISRUTE has become an important innovation in the health referral system. However, there are still challenges in implementing it in hospitals. This research uses a descriptive analysis method by collecting data through surveys and statistical analysis. The research results show that even though SISRUTE has been implemented, its effect on employee performance
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K. Wolde, Abraham, and Mebrat G. Wondim. "Diabetic Distress Among Diabetic Patients in the Referral Hospital of Amhara Regional State, Ethiopia." International Quarterly of Community Health Education 40, no. 2 (2019): 105–14. http://dx.doi.org/10.1177/0272684x19857580.

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The main purpose of this study was to assess the status of diabetic distress among diabetic patients of referral hospitals in Amhara Regional State. Hospital-based cross-sectional survey was conducted on 346 participants. The participants of the study were selected using both probability and nonprobability sampling techniques. The instrument of the study was adapted and contextualized to the Ethiopian context to avoid cultural conflicts, and then it was rated and piloted. Both descriptive and inferential techniques were used to analyze the data. The cut-off for low, moderate, and high distress
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Lestari, Hesti. "PELAYANAN PRIMA PADA RUMAH SAKIT UMUM MILIK PEMERINTAH DI JAWA (Studi di Rumah Sakit Umum Pusat Dr. Kariadi Semarang, Rumah Sakit Umum Daerah Dr. Soetomo Surabaya, dan Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung)." Dialogue : Jurnal Ilmu Administrasi Publik 3, no. 1 (2021): 55–72. http://dx.doi.org/10.14710/dialogue.v3i1.11545.

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Hospital services are basically a form of service provided to patients by paying attention to predetermined service quality standards, in order to create satisfaction for patients in accordance with patient expectations. Central General Hospital Dr. Kariadi Semarang, Regional General Hospital Dr. Soetomo Surabaya, and Central General Hospital Dr. Hasan Sadikin Bandung is a government-owned public hospital located in the Java region. The three hospitals are government-owned hospitals as national referral hospitals which are class A hospitals. The purpose of this research is to find out how the
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Richardson, Douglas K., Kate Reed, J. Christopher Cutler, et al. "Perinatal Regionalization Versus Hospital Competition: The Hartford Example." Pediatrics 96, no. 3 (1995): 417–23. http://dx.doi.org/10.1542/peds.96.3.417.

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Objectives. The increasingly competitive health care environment may undermine effective traditional regional organizations. It is urgent to document the benefits of perinatal regionalization for the emerging health care system. We present a case study that illustrates many of the challenges to and benefits of perinatal regionalization in the 1990s. Background. The controversy in Hartford was sparked by a proposed merger of two major pediatric services into a full-service children's hospital. Community hospitals reacted with plans to upgrade their obstetrics/neonatal facilities toward level II
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Mtenga, Norbert, Glorian Nnko, Goodluck Nchasi, et al. "Impact of Inperson Training on Health Care Provider Knowledge of the Symptoms and Treatment of Pediatric Cancer in Mwanza Region." JCO Global Oncology 8, Supplement_1 (2022): 55. http://dx.doi.org/10.1200/go.22.61000.

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PURPOSE In Tanzania, < 20% of the estimated 3,500 children who develop cancer each year present to one of the three cancer treatment centers. Of those who do present, there is an average of 89 days between when they present to the local health care center and their cancer center evaluation. Our aim was to assess the baseline pediatric cancer knowledge among medical providers at health centers and district hospitals in the Mwanza region and evaluate the impact of a training program on cancer knowledge and symptom recognition, and ultimately reduce referral delay. METHODS One provider from ea
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Wu, Nancy, Melissa Carvalho, Obieze Nwanna-Nzewunwa, et al. "Developing Trauma Audit Filters for Regional Referral Hospitals in Cameroon: Mixed-Methods Approach." Journal of Surgical Research 232 (December 2018): 578–86. http://dx.doi.org/10.1016/j.jss.2018.07.048.

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Omulo, Sylvia, Margaret Oluka, Loice Achieng, et al. "Point-prevalence survey of antibiotic use at three public referral hospitals in Kenya." PLOS ONE 17, no. 6 (2022): e0270048. http://dx.doi.org/10.1371/journal.pone.0270048.

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Antimicrobial stewardship encourages appropriate antibiotic use, the specific activities of which will vary by institutional context. We investigated regional variation in antibiotic use by surveying three regional public hospitals in Kenya. Hospital-level data for antimicrobial stewardship activities, infection prevention and control, and laboratory diagnostic capacities were collected from hospital administrators, heads of infection prevention and control units, and laboratory directors, respectively. Patient-level antibiotic use data were abstracted from medical records using a modified Wor
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Sastrawan, Sastrawan, Lalu Sulaiman, and Eva Erawati. "An analysis of the maternal health referral system: a case study of the BAKSOKUDA system in Central Lombok, Indonesia." International Journal of Public Health Science (IJPHS) 14, no. 2 (2025): 740. https://doi.org/10.11591/ijphs.v14i2.24349.

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Maternal mortality remains a critical concern in Central Lombok, with over 50% of maternal deaths in hospitals involving cases referred through the BAKSOKUDA referral system. This suggests potential failures within the referral process, raising concerns about systemic issues compromising maternal health emergencies. This research uses a qualitative case study methodology to investigate the BAKSOKUDA system, aiming to identify the challenges contributing to high maternal mortality and provide insights for improving healthcare outcomes. Data were collected through semi-structured interviews with
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Mrak, Goran, Josip Paladino, Adil Džubur, and Andrej Desnica. "Telemedicine in neurosurgery – teleradiology connections in the Republic of Croatia." Journal of Telemedicine and Telecare 15, no. 3 (2009): 142–44. http://dx.doi.org/10.1258/jtt.2009.003012.

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In 1998, a teleradiology system was established in Croatia. It connects 34 CT, MRI and DSA scanners in 29 hospitals with a referral centre in the neurosurgery department in Zagreb. In the first three years of its use, the network saved more than 400,000 km of patient transportation (i.e. without a teleconsultation, all of the patients would have had to be transported to the nearest referral neurosurgical unit). During the first seven years, an archive with 25,366 expert opinions was collected. A total of 7103 (28%) expert opinions were provided for the distant regional hospitals. The most comm
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Octoprima Orsal, Muhammad Zhikron, Nur Afrainin Syah, and Adila Kasni Astiena. "How Does the Marketing Mix of Regional Public Hospitals in Padang, Indonesia, Compare to Private Hospitals?" International Journal of Research and Review 11, no. 11 (2024): 598–606. https://doi.org/10.52403/ijrr.20241161.

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Hospitals, like any other business, must attract patients to increase revenue. Several studies have shown that the marketing mix concept was closely linked to the selection of hospital services. Public and private hospitals differ in some ways, particularly in finances. This study compared the marketing mix of regional public (RSUD) and private hospitals (non-RSUD) in Padang, Indonesia, and offers practical insights that could be applied in the real world. This was observational research with a cross-sectional study design. Samples were selected consecutively, 100 samples. The data was collect
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Niyirera, Eugene, Ahmed Kiswezi, and Innocent Sayanone. "Short-term outcomes of thyroid surgery at a regional referral hospital in Ruhengeri, northwest Rwanda: A 1-year retrospective study." East and Central African Journal of Surgery 26, no. 4 (2021): 148–51. https://doi.org/10.4314/ecajs.v26i4.1.

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Background In the rural areas of sub-Saharan Africa, goitres are often undertreated due to the limited availability of thyroid surgery in referral hospitals. This study evaluated patient outcomes following surgical treatment for goitres at Ruhengeri Referral Hospital, a re­source-limited hospital in northwest Rwanda. Methods We reviewed the medical records of patients who were surgically treated for goitres between December 2017 and November 2018. Data were collected on the following variables: patient sex, patient age, date of symptom onset, clinical diagnosis, indication for surgery, laborat
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Kavuta, Karisha, and Peter Charles. "Assessment of the Contribution of HIS Usability towards Quality Health Care in Tanzania Public Regional Referral Hospitals." Accountancy and Business Review 15, no. 3 (2023): 65–73. http://dx.doi.org/10.59645/abr.v15i3.149.

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This study focuses on the assessment of the contribution of HIS usability towards quality healthcare services to Tanzania regional referral hospitals, a case study of the Geita Regional Referral Hospital (GRRH). The study divided the research participants into two strata including service providers and service recipients to ensure balanced opinions. The participants were obtained using a stratified simple random sampling technique. The mixed research approach was applied in collecting both quantitative and qualitative data. Data were collected using both a questionnaire and a semi-structured i
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Andriza, Phivi, Ridwan Manda Putra, and Syahril Nedi. "Strategi pengelolaan limbah padat RSUD Provinsi X (studi kasus masa pandemi Covid-19)." EcoNews 6, no. 1 (2023): 81–88. http://dx.doi.org/10.31258/econews.6.1.p.81-88.

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Regional General Hospital X is the largest hospital and referral for Covid-19 patients in one of the Province in Indonesia. The Covid-19 outbreak that has occurred since 2020 has caused an increase in the number of patients to the Regional General Hospital X. The increasing number of patients in hospitals causes an increase in the amount of hospital waste generated. The purpose of this study was to formulate a solid waste management strategy at the Regional General Hospital X which became a referral hospital for Covid-19 patients. The study was conducted by collecting secondary data in the for
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Okonofua, Friday Ebhodaghe, Bola Ekezue, Lorretta Favour Chizomam Ntoimo, et al. "Effects of multifaceted interventions to prevent and manage primary postpartum haemorrhage in referral hospitals: a quasi-experimental study in Nigeria." BMJ Global Health 7, no. 4 (2022): e007779. http://dx.doi.org/10.1136/bmjgh-2021-007779.

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IntroductionPrimary postpartum haemorrhage (PPH) is the leading cause of Nigeria’s high maternal mortality rate. This study investigated the effectiveness of a set of multifaceted interventions to manage and reduce PPH in selected secondary referral health facilities in Nigeria.MethodsThis is a quasi-experimental study using an interrupted time-series design to assess a set of multifaceted interventions that address factors identified by stakeholders as associated with PPH. Interventions were implemented at two regional general hospitals, with a general hospital in the same region as the contr
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Dorji, Kuenzang, Kinga Jamphel, Jigme Kelzang, et al. "Patient satisfaction in regional referral hospitals of Bhutan: Insights from a cross-sectional study." PLOS One 20, no. 6 (2025): e0312629. https://doi.org/10.1371/journal.pone.0312629.

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Background Patient satisfaction is crucial for evaluating healthcare quality and guiding continuous quality improvement. Globally, patient satisfaction has been extensively studied; however, there is limited research on this topic in Bhutan, where the healthcare system is in the early stages of developing a quality-oriented culture. To address this gap, we aimed to evaluate patient satisfaction levels among different socio-demographic and clinical groups and identify the predictors of patient satisfaction in Bhutan. Methods We conducted a retrospective analysis of patient satisfaction survey r
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Machmud, Rizan, and Tineke Wolok. "Model Design of Influence of Service Quality on Customer Satisfaction in Regional General Hospitals in Gorontalo Province." International Journal of Tourism and Hospitality in Asia Pasific 3, no. 3 (2020): 63–78. http://dx.doi.org/10.32535/ijthap.v3i3.948.

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This study aims to determine the model design of influence of service quality on customer satisfaction at Regional General Hospitals (RSUD) in Gorontalo Province. This research believes that the quality of service remains the biggest problem demanding a pattern of services to increase customer satisfaction hindering the government-owned hospital to compete with other private hospitals. This study uses AHP analysis to formulate the interest weights of various factors as the basis for the formulation of the design model, and SWOT analysis to formulate strategies by considering the importance of
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Pratiwi, Diva Indah, Rima Semiarty, and Aria Fransiska. "PERBANDINGAN KUNJUNGAN PASIEN PER KASUS DI PELAYANAN KESEHATAN GIGI LANJUTAN PADA RUMAH SAKIT DI KOTA PADANG DITINJAU DARI PEMANFAATAN SISTEM JAMINAN KESEHATAN NASIONAL (JKN)." Andalas Dental Journal 3, no. 1 (2015): 10–16. http://dx.doi.org/10.25077/adj.v3i1.31.

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Implementation of the National Health Insurance (JKN) in Padang’s Hospital has started since 1 January 2014. In practice JKN implement tiered referral system of first-level health facilities to advanced-level health facilities to meet the needs of the patient. This study aimed to compare the level of patient visits before and after JKN and to determine the causes of the referral hospital, especially in Yos Sudarso Padang Hospital and dr. Rasidin Regional Public Hospital Padang.This research is a qualitative descriptive study. Data collection was done by taking the primary data from hospitals a
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