ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2024
Experiences of injured patients referred to higher levels of care after initial assessment and management at non-tertiary hospitals in Ghana.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Visualisation of a complex healthcare system: mapping vascular and trauma surgery services in Ghana.BMC health services research · 2026Article
- Health system governance for injury care in low- and middle-income countries: a survey of policymakers and policy implementors.BMJ global health · 2025Article
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4 authors.
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Abstract
Background: The experiences of trauma patients referred from Ghanaian non-tertiary hospitals for definitive care at higher levels is not well-known. Understanding the motivations of injured patients who do not attend their referral for definitive management may inform interventions to improve injury outcomes. Methods: This study is a follow-up survey of participants of a larger study involving initial management of injured patients presenting to 8 non-tertiary hospitals in Ghana from October 2020 to March 2022. Injured patients referred to higher levels of care were surveyed by phone using a structured questionnaire and patients who could not be reached were excluded. The main outcome was referral non-attendance and differences between patients who attended the referral and those who did not were determined with chi squared tests. Variables with intergroup differences were included in a multivariable logistic regression. Open-ended survey responses were analyzed using thematic content analysis. Results: Of 335 referred patients surveyed, 17 % did not attend the referral. Factors associated with referral non-attendance included being male (Adjusted odds ratio (AOR)=2.70, Conclusions: An important proportion of injured patients in Ghana do not attend referrals for definitive management, with many seeking care from traditional healers. Our study identified possible targets for interventions aimed at maintaining the continuum of hospital-based care for injured patients in order to improve outcomes.
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