Background Self-referral leads to diminished quality of health care service; increase
resource depletion and poorer patient outcomes. However, a significant number of patients …

Background Patient self-referral is a condition when patients refer themselves to higher level
health facilities without having to see anyone else first or without being told to refer …

Background. Self-referrals may cause the primary level health care to be under-utilized and
hospitals over used, congested and overburdened, leading to an escalation of health care …

Background Patient self-referral is when patients refer themselves to upper-level health
facilities without having to see anyone else first or without being told to refer themselves by …

Background: Non-compliance with designated referral pathways has ramifications such as
increased patient waiting time, overburdening of higher levels of care and increasing …

Background When medical cases are difficult to manage at the level of primary health care
units (PHCU), formal referral assists patients transferring to a higher level of care. In contrast …

Research Page 1 Page number not for citation purposes 1 Prevalence and determinants of self
referrals to a District-Regional Hospital in KwaZulu Natal, South Africa: a cross sectional study …

Background The by-pass of the primary level of care to the referral facilities has continued to
raise concerns for the healthcare delivery system. About 60–90% of patients in Nigeria are …

Methods A cross-sectional study was carried out among 300 federal civil servants who were
interviewed using validated and pre-tested interviewer-administered semi structured …

Introduction: In any healthcare system an appropriate structure is essential to operational
efficiency. Patients must be able to easily access healthcare workers and/or health centers …