BACKGROUND In 2013, 78% of malaria deaths occurred in children aged 5 years and below, in sub-Saharan Africa. Treatment of severe malaria requires a health facility with inpatient care. However, in most sub-Sahara African countries, access to health facilities is a major problem. Pre-referral antimalarial treatments aim to delay the progress of severe malaria as patients seek to access health f...

BACKGROUND Awareness of chronic kidney disease (CKD) has been prompted by the publication of several large epidemiological studies since 2002. This has led to various initiatives for the early identification and management of CKD, including the introduction of automated glomerular filtration rate (GFR) reporting and renal indicators in the primary care quality and outcomes framework (QOF) since...

Conclusion The PSCS provides care in the community and has released capacity at the University Hospital of North Staffordshire (UHNS). The orthoptic referral triage system directs patients appropriately to PSCS or UHNS appointments. The refractive prescribing guidelines help to maintain a standardised quality of care. Electronic referral management reduces administrative error. Referral pathway...

BACKGROUND Exercise referral schemes are widespread across England. National guidance emphasises the need to engage groups that are disadvantaged. AIM To examine the influence of socioeconomic deprivation on referral to, and use of, exercise referral schemes. DESIGN OF STUDY Cross-sectional analysis of patients referred by general practices to exercise referral schemes between 2004 and 2006...

OBJECTIVE To assess the impact of exercise referral schemes on physical activity and health outcomes. Design Systematic review and meta-analysis. DATA SOURCES Medline, Embase, PsycINFO, Cochrane Library, ISI Web of Science, SPORTDiscus, and ongoing trial registries up to October 2009. We also checked study references. Study selection Design: randomised controlled trials or non-randomised cont...

BACKGROUND Successful subspecialty referrals require considerable coordination and interactive communication among the primary care provider (PCP), the subspecialist, and the patient, which may be challenging in the outpatient setting. Even when referrals are facilitated by electronic health records (EHRs) (i.e., e-referrals), lapses in patient follow-up might occur. Although compelling reasons...

Emergency obstetric care (EmOC) within primary health care systems requires a linked referral system to be effective in reducing maternal death. This systematic review aimed to summarize evidence on the proportion of referrals between institutions during pregnancy and delivery, and the factors affecting referrals, in India. We searched 6 electronic databases, reviewed four regional databases an...

OBJECTIVE Our aim is to review, and qualitatively evaluate, the aims and measures of social referral programmes. Our first objective is to identify the aims of social referral initiatives. Our second objective is to identify the measures used to evaluate whether the aims of social referral were met. DESIGN Literature review. BACKGROUND Social referral programmes, also called social prescrib...

BACKGROUND Women seeking abortion services need to access services in a timely fashion. Quick and appropriate referrals to abortion providers are critical to this process. METHODS The objective of this study was to determine the quality and quantity of referrals for abortion services from reproductive health care facilities that do not provide abortion services. USA states were ranked by rest...

BACKGROUND AND OBJECTIVE The Nigeria Health System operates three levels of health care, which correspond to the tiers of government and interacts through a referral system. The national health policy recommends the Primary Health Care (PHC) as the entry point to health care system. However, these facilities are poorly managed leading to underutilization. Therefore, people usually attend any fa...