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Characteristics of pediatric e-referrals through SMARC system: a two-year national analysis

Abdullah A Alharbi1, Mohammed A Muaddi1, Meshary S Binhotan2,3

  • 1Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.

Frontiers in Medicine
|November 28, 2025
PubMed

Insights

Saudi Arabia

Area of Science:

  • Pediatric Healthcare Coordination
  • Digital Health Systems
  • Healthcare Network Analysis

Background:

  • Electronic referral (e-referral) systems are crucial for pediatric healthcare coordination.
  • Limited nationwide analyses exist for pediatric e-referral system implementation.
  • This study evaluates pediatric e-referrals in Saudi Arabia's healthcare network.

Purpose of the Study:

  • To examine patterns and outcomes of pediatric e-referrals nationwide.
  • To assess the system performance of pediatric e-referrals in Saudi Arabia.
  • To provide insights for healthcare planning and resource allocation.

Main Methods:

  • Retrospective analysis of 62,206 pediatric e-referrals from January 2023 to December 2024.
  • Data included referral types, subspecialty distribution, regional patterns, and acceptance rates.
  • Temporal trends in e-referral usage were analyzed.

Main Results:

  • Male patients comprised 54.19% of e-referrals.
  • Routine outpatient referrals were most common (56.98%), followed by urgent/lifesaving cases (32.41%).
  • High overall acceptance rate (91.52%), with 100% for lifesaving cases; General Pediatrics, Cardiology, Neurology, and Neonatal Care were leading subspecialties.

Conclusions:

  • Saudi Arabia's pediatric e-referral system shows successful implementation and high acceptance rates.
  • The system demonstrates effective regional self-sufficiency in coordinated care.
  • Findings offer transferable insights for international digital health initiatives in pediatric care.
Abstract

Keywords:
Saudi Arabiadigital healthelectronic referralhealthcare coordinationhealthcare systemspediatric healthcare

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