Table 5.
Hospital Survey Data Over Time Stratified by Construct.
| Pre-Intervention, Median (IQR) | 3-Month, Median (IQR) | 6-Month, Median (IQR) | 12-Month, Median (IQR) | P |
|
| ||||
| Written Communication—PHC Responsibility | ||||
|
| ||||
| N = 19 | N = 15 | N = 10 | N = 17 | |
|
| ||||
| 32.0 (27.0, 35.0) | 36.0 (32.0, 40.0) | 41.0 (27.0, 41.25) | 40.0 (34.50, 42.0) | .02a |
| 32.0 (27.0, 35.0) | 36.0 (32.0, 40.0) | .10b | ||
| 32.0 (27.0, 35.0) | 41.0 (27.0, 41.25) | .07b | ||
| 32.0 (27.0, 35.0) | 40.0 (34.50, 42.0) | .004b | ||
|
| ||||
| Written Communication—Hospital Responsibility | ||||
|
| ||||
| N = 19 | N = 14 | N = 10 | N = 17 | |
|
| ||||
| 18.0 (14.0, 23.0) | 26.0 (22.75, 29.0) | 27.50 (24.0, 29.0) | 28.0 (24.50, 29.50) | <.001a |
| 18.0 (14.0, 23.0) | 26.0 (22.75, 29.0) | .001b | ||
| 18.0 (14.0, 23.0) | 27.50 (24.0, 29.0) | <.001b | ||
| 18.0 (14.0, 23.0) | 28.0 (24.50, 29.50) | <.001b | ||
|
| ||||
| Verbal Communication—PHC Responsibility | ||||
|
| ||||
| N = 21 | N = 16 | N = 10 | N = 15 | |
|
| ||||
| 4.0 (2.0, 5.50) | 5.0 (4.0, 6.0) | 5.0 (4.75, 6.25) | 6.0 (4.0, 7.0) | .03a |
| 4.0 (2.0, 5.50) | 5.0 (4.0, 6.0) | .10b | ||
| 4.0 (2.0, 5.50) | 5.0 (4.75, 6.25) | .03b | ||
| 4.0 (2.0, 5.50) | 6.0 (4.0, 7.0) | .01b | ||
|
| ||||
| Verbal Communication—Hospital Responsibility | ||||
|
| ||||
| N = 19 | N = 16 | N = 10 | N = 17 | |
|
| ||||
| 1.0 (1.0, 2.0) | 2.0 (1.0, 2.0) | 1.50 (1.0, 3.0) | 2.0 (1.50, 3.0) | .08a |
| 1.0 (1.0, 2.0) | 2.0 (1.0, 2.0) | .06b | ||
| 1.0 (1.0, 2.0) | 1.50 (1.0, 3.0) | .32 | ||
| 1.0 (1.0, 2.0) | 2.0 (1.50, 3.0) | .01 | ||
|
| ||||
| Ease of Using the Referral/Counter-Referral System | ||||
|
| ||||
| N = 21 | N = 15 | N = 8 | N = 16 | |
|
| ||||
| 32.0 (28.0, 33.50) | 33.0 (31.0, 38.0) | 36.0 (28.75, 39.75) | 38.0 (35.0, 40.0) | .01a |
| 32.0 (28.0, 33.50) | 33.0 (31.0, 38.0) | .11b | ||
| 32.0 (28.0, 33.50) | 36.0 (28.75, 39.75) | .12b | ||
| 32.0 (28.0, 33.50) | 38.0 (35.0, 40.0) | .002b | ||
|
| ||||
| Patient Follow-up at the PHC | ||||
|
| ||||
| N = 20 | N = 16 | N = 9 | N = 17 | |
|
| ||||
| 4.0 (2.0, 4.0) | 5.50 (4.0, 7.0) | 5.0 (4.0, 8.0) | 6.0 (3.50, 8.0) | .02a |
| 4.0 (2.0, 4.0) | 5.50 (4.0, 7.0) | .02b | ||
| 4.0 (2.0, 4.0) | 5.0 (4.0, 8.0) | .03b | ||
| 4.0 (2.0, 4.0) | 6.0 (3.50, 8.0) | .01b | ||
|
| ||||
| Positive Effect of Referral System on Patient Care | ||||
|
| ||||
| N = 19 | N = 15 | N = 10 | N = 16 | |
|
| ||||
| 19.0 (9.0, 25.0) | 24.0 (15.0, 26.0) | 25.50 (16.0, 29.0) | 23.0 (10.25, 29.50) | .34a |
| 19.0 (9.0, 25.0) | 24.0 (15.0, 26.0) | .22b | ||
| 19.0 (9.0, 25.0) | 25.50 (16.0, 29.0) | .11b | ||
| 19.0 (9.0, 25.0) | 23.0 (10.25, 29.50) | .21b | ||
|
| ||||
| Trust and Relationship Between PHC and Hospital | ||||
|
| ||||
| N = 18 | N = 16 | N = 8 | N = 17 | |
|
| ||||
| 6.0 (4.0, 9.0) | 7.50 (6.25, 10.0) | 9.50 (7.0, 11.50) | 10.0 (8.50, 12.0) | .001a |
| 6.0 (4.0, 9.0) | 7.50 (6.25, 10.0) | .06b | ||
| 6.0 (4.0, 9.0) | 9.50 (7.0, 11.50) | .02b | ||
| 6.0 (4.0, 9.0) | 10.0 (8.50, 12.0) | <.001b | ||
Abbreviations: IQR, interquartile range; PHC, primary health center.
a
P value calculated using the Kruskal-Wallis test for unmatched data.
b
P value was calculated using the Mann-Whitney test for unpaired data.