Coping with paediatric referral - Ugandan parents' experience
Coping with paediatric referral - Ugandan parents' experience
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DOI：
10.1016/s0140-6736(04)16411-8
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发表时间：
2004-06-12
期刊：
影响因子：
168.9
通讯作者：
Mukasa, G
中科院分区：
文献类型：
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作者：
Peterson, S;Nsungwa-Sabiiti, J;Mukasa, G
将重症儿童转诊至医院是儿童疾病综合管理 (IMCI) 的关键。在乌干达农村地区，我们记录了看护人员从 12 个医疗机构转诊至医院的能力。在 227 名儿童中，只有 63 名 (28%) 在 2 周后完成转诊，中位费用为 8-85 美元（范围 0.40-89.00）。未能去医院的原因包括缺钱（139 名儿童，占 90%）、交通问题（39 名儿童，占 26%）和家庭责任（26 名儿童，占 17%）。未完全转诊的儿童在转诊医疗中心（87 名，54%）或私营部门（45 名，28%）继续接受治疗。我们的结果表明，必须降低转诊成本才能使儿科转诊变得现实。当转诊困难时，应使用更具体的 IMCI 转诊标准，并应授权一级卫生工作者管理重症儿童。
Referral of severely ill children to hospital is key in the Integrated Management of Childhood Illness (IMCI). In rural Uganda, we documented the caretakers' ability to complete referral to hospital from 12 health facilities. Of 227 children, only 63 (28%) had completed referral after 2 weeks, at a median cost of US$8-85 (range 0.40-89.00). Failure to attend hospital resulted from lack of money (139 children, 90%), transport problems (39, 26%), and responsibilities at home (26, 17%). Children with incomplete referral continued treatment at referring health centres (87, 54%) or in the private sector (45, 28%). Our results show that cost of referral must decrease to make paediatric referral realistic. When referral is difficult, more specific IMCI referral criteria should be used and first-level health workers should be empowered to manage severely ill children.