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- W2360992558 abstract "Objective To analyze the characteristics of the transregional or cross- district patient referral performed by hospitals of a second tier in a district in Shanghai from 2011 to 2013 with a hope of providing a scientific basis for improvement of the referral system in the future. Methods Data on the cross- district referrals( including total number of referral,type of the disease requiring referral,and the type and tier of the receiving hospital) made by secondary hospitals in a district in Shanghai in the first six months between 2011 and 2013 were extracted and analyzed. Results In the first six months of 2011,2012 and 2013 respectively,1 655,1 686 and 1 491 transregional referrals were made by secondary hospitals in this studied district. Trauma, pediatric diseases,neurological diseases,and cardiovascular diseases were the major types of diseases that required referral,accounting for 30. 53%,17. 40%,17. 65%,and 10. 87% of the total number of referral respectively. The number of pediatric and cardiovascular disease patients referred was declining with time during the three year period and the number of trauma patients referred was decreasing in 2013. In contrast,the number of neurological disease patients requiring referral was gradually increasing during the three years analyzed. There were significant differences in the distribution of diseases types and receiving hospitals between years( P 0. 001,P = 0. 008). Children's Hospital,Changzheng Hospital,the Sixth People's Hospital,Tongji Hospital,Huashan Hospital and Ruijin Hospital were the major receiving hospitals in this district. Conclusion There are significant differences in the total number of referral made,in the disease types requiring referral,and in the distribution of receiving hospitals in the past three years in the district analyzed. It is highly anticipated that our findings would provide supplementary information on which specialty areas need to be strengthened in secondary hospitals in the district analyzed in Shanghai in order to reduce the referral- associated inconvenience and economic burden of the patients." @default.
- W2360992558 created "2016-06-24" @default.
- W2360992558 creator A5073822826 @default.
- W2360992558 date "2014-01-01" @default.
- W2360992558 modified "2023-09-25" @default.
- W2360992558 title "Transregional Patient Referral from Secondary Hospitals in A District of Shanghai from 2011 to 2013" @default.
- W2360992558 hasPublicationYear "2014" @default.
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