Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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Brief Communication

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Volume 24

January - March 2008

Number 1


 

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Outcome of referrals from a primary
health institution in rural Karnataka

Anton N. Isaacs1, Noel Varghese2,Cyriac A. Phillips3,
Geoiphy G. Pulickal4, Christopher Lhmar5

Summary:

Primary Healthcare Centers (PHCs) play a vital role in public health system in rural areas in India. Some, of the patients visiting these PHCs are then referred to tertiary care facilities. Reasons for referral include unsure diagnosis or inadequate facilities for treatment. In this study almost 86% of patients showed improvement after treatment at referral centers while twelve referred patients did not seek treatment after getting symptomatic relief. Two referred patients, one with uncontrolled diabetes and the other with AMI died. IHD in rural areas need special attention. We feel that establishing a link between Primary Health Care Centers and tertiary care centers besides building capacity of PHC centers to manage chronic diseases needs special attention.

Key Words: Primary care referrals, Outcome.

Pak J Med Sci    January - March 2008    Vol. 24 No. 1    157-160


1. Anton N. Isaacs
Assistant Professor
Noel Varghese
Resident Medical Officer
2. Noel Varghese
3. Cyriac A. Phillips (Intern)
4. Geoiphy G. Pulickal (Intern)
5. Christopher Lhmar (Intern)
1-5: Department of Community Health,
St. John’s Medical College,
Bangalore – India.

Correspondence

Dr. Anton N. Isaacs MD,
Department of Rural and Indigenous Health,
Monash University,
P.O. Box: 973,
Moe, Victoria.
3825. Victoria,
Australia.
E-mail: antonisaacs@yahoo.co.in 

* Received for Publication: October 3, 2007

* Accepted: December 15, 2007



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