Rethinking referral systems in rural chiapas: A mixed methods study.

ABSTRACT:

Background

Despite the assurance of universal health coverage, large disparities exist in access to surgery in the state of Chiapas. The purpose of this study was to determine the effectiveness of the surgical referral system at hospitals operated by the Ministry of Health in Chiapas.

Methods

13 variables were extracted from surgical referrals data from three public hospitals in Chiapas over a three-year period. Interviews were performed of health care workers involved in the referral system and surgical patients. The quantitative and qualitative data was analyzed convergently and reported using a narrative approach.

Findings

In total, only 47.4% of referred patients requiring surgery received an operation. Requiring an elective, gynecological, or orthopedic surgery a

SUBMITTER: Macias V 

PROVIDER: S-EPMC10953926 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature