Abstract
Objective: To reduce direct parental referral of low acuity ill pediatric patients to the outpatient facilities of a nation's only pediatric referral hospital. Patients and Methods: Longitudinal monitoring of outpatient visits at Orotta Children's Hospital (OCH) and primary health facilities (PHFs) following implementation of an intervention designed in response to information provided by parents and health-care providers. Parental surveys were undertaken before and after exposure to the intervention to assess effects on knowledge, attitudes, and behavioral intentions. Results: We analyzed 5,639 visits between baseline and follow-up, documenting a decline in parental referral among OCH outpatients from 95% to approximately 80%. Educational intervention increased the proportion of parents intending to use PHF for future outpatient care from 28% to 82%. Staff of the PHFs responded enthusiastically to this intervention program and requested further activities. Conclusions: Self-referral to tertiary care hospital was reduced following a modest program of parental education designed and implemented by residents in training.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 213-217 |
| Number of pages | 5 |
| Journal | Journal of primary care & community health |
| Volume | 1 |
| Issue number | 3 |
| DOIs | |
| State | Published - 2010 |
Fingerprint
Keywords
- community health
- developing nation
- health services accessibility
- pediatric
- primary care
ASJC Scopus subject areas
- Medicine(all)
- Community and Home Care
- Public Health, Environmental and Occupational Health
Cite this
Intervention to Reduce Parental Bypass of Community Pediatric Primary Health Facilities in Asmara, Eritrea. / Natale, JoAnne E; Hamburger, Ellen; Aman, Mussie; Asmerom, Woldu; Faisal, Amal; Gebremichael, Fitsum; Haile, Solomon; Maekele, Meroni; Mohammed, Mahmud; Tesfaye, Dawit; Ghiorghis, Belai; Joseph, Jill G.
In: Journal of primary care & community health, Vol. 1, No. 3, 2010, p. 213-217.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intervention to Reduce Parental Bypass of Community Pediatric Primary Health Facilities in Asmara, Eritrea
AU - Natale, JoAnne E
AU - Hamburger, Ellen
AU - Aman, Mussie
AU - Asmerom, Woldu
AU - Faisal, Amal
AU - Gebremichael, Fitsum
AU - Haile, Solomon
AU - Maekele, Meroni
AU - Mohammed, Mahmud
AU - Tesfaye, Dawit
AU - Ghiorghis, Belai
AU - Joseph, Jill G
PY - 2010
Y1 - 2010
N2 - Objective: To reduce direct parental referral of low acuity ill pediatric patients to the outpatient facilities of a nation's only pediatric referral hospital. Patients and Methods: Longitudinal monitoring of outpatient visits at Orotta Children's Hospital (OCH) and primary health facilities (PHFs) following implementation of an intervention designed in response to information provided by parents and health-care providers. Parental surveys were undertaken before and after exposure to the intervention to assess effects on knowledge, attitudes, and behavioral intentions. Results: We analyzed 5,639 visits between baseline and follow-up, documenting a decline in parental referral among OCH outpatients from 95% to approximately 80%. Educational intervention increased the proportion of parents intending to use PHF for future outpatient care from 28% to 82%. Staff of the PHFs responded enthusiastically to this intervention program and requested further activities. Conclusions: Self-referral to tertiary care hospital was reduced following a modest program of parental education designed and implemented by residents in training.
AB - Objective: To reduce direct parental referral of low acuity ill pediatric patients to the outpatient facilities of a nation's only pediatric referral hospital. Patients and Methods: Longitudinal monitoring of outpatient visits at Orotta Children's Hospital (OCH) and primary health facilities (PHFs) following implementation of an intervention designed in response to information provided by parents and health-care providers. Parental surveys were undertaken before and after exposure to the intervention to assess effects on knowledge, attitudes, and behavioral intentions. Results: We analyzed 5,639 visits between baseline and follow-up, documenting a decline in parental referral among OCH outpatients from 95% to approximately 80%. Educational intervention increased the proportion of parents intending to use PHF for future outpatient care from 28% to 82%. Staff of the PHFs responded enthusiastically to this intervention program and requested further activities. Conclusions: Self-referral to tertiary care hospital was reduced following a modest program of parental education designed and implemented by residents in training.
KW - community health
KW - developing nation
KW - health services accessibility
KW - pediatric
KW - primary care
UR - http://www.scopus.com/inward/record.url?scp=84990328188&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84990328188&partnerID=8YFLogxK
U2 - 10.1177/2150131910380238
DO - 10.1177/2150131910380238
M3 - Article
AN - SCOPUS:84990328188
VL - 1
SP - 213
EP - 217
JO - Journal of primary care & community health
JF - Journal of primary care & community health
SN - 2150-1319
IS - 3
ER -