To determine whether the establishment of a peripheral computed tomography (CT) facility has an influence on the central referral neurosurgical unit, and particularly whether unnecessary referrals are avoided.
The outpatient records of all patients referred from Umtata General Hospital (UGH) to the neurosurgical unit at Wentworth Hospital, Durban, were retrospectively analysed over a 4-year period - 2 years before and 2 after the introduction of CT facilities at UGH.
Wentworth Hospital, Durban, which houses the sole neurosurgical referral centre for the region.
Eight hundred and forty patients were referred to the neurosurgical unit from UGH during the 4-year study period - July 1990 to June 1994.
1. The number of referrals to the neurosurgical unit before and after introduction of peripheral CT facilities at UGH. 2. The admission rate of the above referrals during the same periods, indicating appropriate referrals.
1. There were 536 patients referred from UGH to the neurosurgical unit over a 2-year period before the introduction of peripheral CT facilities, and 304 patients during the subsequent 2-year period after introduction of CT facilities at UGH.
This represented a 43.3% decrease in patient referrals during a period in which referrals from all other areas increased by 2.6%. 2. The admission rate of patients (indicating appropriate referrals) being referred from UGH increased from 46. (...)
Mots-clés Pascal : Tomodensitométrie, Système nerveux central, Installation décentralisée, Equipement médical, Hôpital, Taux, Chirurgie, Système nerveux pathologie, Admission hôpital, Epidémiologie, Homme, République Sud Africaine, Afrique, Radiodiagnostic, Imagerie médicale, Economie santé
Mots-clés Pascal anglais : Computerized axial tomography, Central nervous system, Decentralized plant, Medical equipment, Hospital, Rate, Surgery, Nervous system diseases, Hospital admission, Epidemiology, Human, South Africa, Africa, Radiodiagnosis, Medical imagery, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0125141
Code Inist : 002B30A01C. Création : 22/06/1998.