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Related Experiment Videos

[Why patients do not comply with reference decision made by general practitioners?].

N Bakry1, A Laabid, V De Brouwere

  • 1Service d'Infrastructure et d'Activités Ambulatoires Provinciales, Délégation Médicale de Mohammadia, Maroc.

Revue D'Epidemiologie Et De Sante Publique
|November 27, 1999
PubMed
Summary

Patient referral compliance is low in Morocco due to organizational issues and poor communication. Improving hospital appointment systems and professional communication can significantly increase patient follow-through rates.

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Area of Science:

  • Public Health
  • Health Services Research
  • Healthcare Management

Background:

  • Health system efficacy relies on component performance and continuity of care.
  • Continuity of care in Settat Province, Morocco, was found to be unsatisfactory.
  • Patient referral rates from first-level care to hospitals ranged from 31% to 52%.

Purpose of the Study:

  • To analyze determinants of patient compliance with referrals to hospitals.
  • To identify organizational and communication barriers affecting healthcare continuity.
  • To propose improvements for the referral process in Settat Province.

Main Methods:

  • Retrospective analysis of patient referral determinants (age, gender, distance, appointment time).
  • Prospective observation of medical consultations in four health centers (two rural, two urban).

Related Experiment Videos

  • Interviews with referred patients and analysis of hospital organization for 38 patients.

    • Main Results:

    • Overall hospital referral compliance was low at 43%.
    • Compliance rates were lower in rural (34%) versus urban (48%) health centers.
    • Key barriers included patient distrust of medical students and long waiting times for specialist appointments, which decreased compliance.

    Conclusions:

    • Healthcare service organization and professional-patient communication are critical determinants of referral compliance.
    • Improving hospital appointment scheduling and addressing patient trust can enhance referral success.
    • Addressing these factors is essential for strengthening health system continuity and efficacy.