Doctors’ experiences regarding patient referral to tertiary care in Pretoria, South Africa

Journal of the Colleges of Medicine of South Africa

 
 
Field Value
 
Title Doctors’ experiences regarding patient referral to tertiary care in Pretoria, South Africa
 
Creator Mothupi, Maureen N. Ndimande, John V. Nkoane, M. Adeline Steyn, C. Bongongo, Tombo
 
Subject family medicine; education; general practice experiences; referring doctors; patient referral; Pretoria; South Africa
Description Background: Patient referral is an essential component of patient care that cannot be underscored. Despite the fact that the regulations and steps involved are well known, little is known about the experiences of referring doctors during the process, as well as the factors that support or impede the referral. This study aimed to investigate doctor’s experiences regarding patient referral to tertiary care in Pretoria, South Africa.Methods: A qualitative study using a descriptive phenomenology design and involving one-on-one interviews with eight doctors from Jubilee District Hospital who had referred patients to Dr George Mukhari Academic Hospital, in Pretoria, South Africa.Results: Eight themes were identified from the analysis: estimated time taken to refer patient, attitudes of the receiving doctors towards patient referral, applicability of the receiving doctors’ advice prior to the referral, referring doctors’ perceptions regarding the receiving doctors’ attitudes towards patient referral, consequences of delays on patient care; strategies to address referral issues, experience regarding transportation of patients being referred and recommendations to improve the referral system. These are further expanded upon by six related sub-themes.Conclusion: The referral process from a district hospital (Jubilee Hospital) to a tertiary care (Dr George Mukhari Academic Hospital) is onerous, with barriers being experienced at almost every step. A variety of issues hindered this process, including administrative, logistical and communication barriers that left referring doctors almost demotivated.Contribution: The challenging experiences from referral highlight the significance of paying close attention to patient referral in order to avoid compromising patient care.
 
Publisher AOSIS
 
Contributor
Date 2024-01-29
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative descriptive phenomenology
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/jcmsa.v2i1.46
 
Source Journal of the Colleges of Medicine of South Africa; Vol 2, No 1 (2024); 8 pages 2960-110X
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://jcmsa.org.za/index.php/jcmsa/article/view/46/45 https://jcmsa.org.za/index.php/jcmsa/article/view/46/46 https://jcmsa.org.za/index.php/jcmsa/article/view/46/47 https://jcmsa.org.za/index.php/jcmsa/article/view/46/48
 
Coverage Africa; South Africa; Gauteng; Pretoria 2018 gender; age
Rights Copyright (c) 2024 Maureen N. Mothupi, John V. Ndimande, M. Adeline Nkoane, Carian Steyn, Tombo Bongongo https://creativecommons.org/licenses/by/4.0
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