Quality of referral system and associated factors among referred clients referred to dessie comprehensive specialized hospital, Northeast, Ethiopia

Biruk Abera, Toyib Yasin, Hiwot Gizaw and Yonas Fissha Adem

PLOS ONE, 2025, vol. 20, issue 12, 1-15

Abstract: Background: An effective referral system acts as a connection among the three tiers of healthcare in Ethiopia, ensuring the seamless provision of appropriate health services. The success of the referral system is a key factor influencing the overall quality and strength of healthcare delivery. Therefore, this study aimed to assess the quality of the referral system and associated factors among referred clients at Dessie Comprehensive Specialized Hospital, Northeast Ethiopia. Methods: A facility-based cross-sectional study was conducted on 413 referred patients at Dessie Comprehensive Specialized Hospital from January 15, 2023, to February 15, 2023. The study participants were selected using a systematic random sampling technique. Data entry and processing were performed using EpiData version 4.4.2 and exported to SPSS version 26.0 for further analysis. Both bivariate and multivariable binary logistic regression analyses were used to identify factors associated with the quality of the referral system. Crude odds ratios (COR) and adjusted odds ratios (AOR), along with 95% confidence intervals (CI), were calculated. A p-value

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0337715

DOI: 10.1371/journal.pone.0337715

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