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Table 4 Reasons for referral by receiving facility type

From: Surgical referrals in Northern Tanzania: a prospective assessment of rates, preventability, reasons and patterns

Type of reason Reason for referral Receiving health facility levela
Health Centers
N = 2
n (%)
District Hospitals
N = 89
n (%)
Regional Hospitals
N = 116
n (%)
Zonal
N = 518
n (%)
Staff capacity Need for specialist care 0 (0.0) 21 (23.6) 77 (66.4) 436 (84.2)
Lack of post-operative care 0 (0.0) 0 (0.0) 9 (7.8) 24 (4.6)
Need for imaging equipment training 0 (0.0) 1 (1.1) 0 (0.0) 0 (0.0)
Member of surgical team not available 2 (100.0) 0 (0.0) 3 (2.6) 15 (2.9)
Need for laboratory diagnostic training 0 (0.0) 0 (0.0) 0 (0.0) 8 (1.5)
Equipment Lack of imaging diagnostic equipment 0 (0.0) 21 (23.6) 30 (25.9) 228 (44.0)
Lack of laboratory diagnostic equipment 0 (0.0) 7 (7.9) 28 (24.1) 143 (27.6)
Non-functional imaging diagnostic equipment 0 (0.0) 25 (28.1) 2 (1.7) 3 (0.6)
Non-functional laboratory diagnostic equipment 0 (0.0) 3 (3.4) 8 (6.9) 4 (0.8)
Drugs and supplies Lack of medical supplies and consumables 0 (0.0) 2 (2.2) 8 (6.9) 51 (9.8)
Lack of drugs 0 (0.0) 1 (1.1) 7 (6.0) 45 (8.7)
Lack of blood 0 (0.0) 13 (14.6) 19 (16.4) 8 (1.5)
Lack of oxygen/water/electricity 0 (0.0) 0 (0.0) 2 (1.7) 4 (0.8)
Infrastructure OR not functional 1 (50.0) 1 (1.1) 0 (0.0) 0 (0.0)
Lack of inpatient beds 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
OR occupied 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0)
Patient preference Patient preference 0 (0.0) 1 (1.1) 1 (0.9) 6 (1.2)
Other Other 0 (0.0) 0 (0.0) 1 (0.9) 0 (0.0)
  1. a Referrals total more than 100% because there could be more than one reason for referral per patient