Quality of Referrals of Surgical Emergencies Admitted to the Departmental Teaching Hospital Borgou-Alibori (CHUD BA) in 2021 and Explained Factors

To be of good quality, the references must comply with the various standards established by the Ministry of Health. The objective of this study was to analyze the quality of surgical referrals admitted to the Borgou Alibori Departmental University Hospital Center (CHUD B/A) in 2021 and their explanatory factors The study concerns all patients referred to health facilities in the Borgou department and admitted to the CHUD-B /A during the period from April 1 to June 30, 2021. This was a cross-sectional observational study with an analytical aim. The dependent variable was the quality of the reference; the independent variables were individual, contextual and organizational. The data collection was hybrid (interview with the patients, after obtaining written consent followed by a recount of the reference sheets). The data was analyzed using the SPSS 21.0 software. A binary logistic regression model was adjusted to identify the factors associated with the poor quality of the reference; the significance level was 0.05. Out of a total of 81 references included, only 16.0% of them were of good quality. The age (p = 0.049), as well as the local level of the patient's original health facility in the health pyramid (p<.001) were the factors associated with the quality of the reference. Most of the emergency surgical referrals admitted to CHUD B/A in 2021 were not of good quality. It is important to review the organization of the reference and counter-reference system to make it operational and guarantee its effectiveness.