Self-referral practice among patients attending outpatient department of Northwest Comprehensive Specialized Hospital, Ethiopia: a multi-center cross-sectional study

According to this study's findings, more patients than expected visited specialized hospitals than previously reported. Various factors, such as educational level, perceived severity of illness, confidence in laboratory services, lack of information about referral methods, and limited use of primary care, contribute to this issue. Addressing these factors and strengthening the referral process are important steps to improve healthcare delivery, continuity of care, and patient satisfaction in Ethiopia.