Experiences of orthopaedic patients referred from regional hospitals to an intermediate hospital in Namibia: A qualitative study

BACKGROUND: The effectiveness of primary and special healthcare systems depends on the patient referral system. In Namibia, most patients that require specialised care are referred to a referral hospital in Windhoek because of inadequate facilities, equipment and health workers in most of the regions. OBJECTIVES: This study aimed to investigate the experiences of orthopaedic patients referred from regional hospitals to Katutura Intermediate Hospital in Namibia. The study was conducted at the Katutura Intermediate Hospital in Namibia. METHOD: A qualitative approach with descriptive-exploratory design was utilised. The target population comprised of 50 patients referred to the orthopaedic department from the regions to Katutura Intermediate Hospital in Namibia, and purposive sampling was used to sample participants. Data were collected among 28 participants till there was no more new information emerging. Data were collected through semi-structured interviews and analysed using thematic analysis. RESULTS: The study found that patients had varied experiences related to healthcare provision, with positive and negative experiences reported. Most patients were satisfied with the quality of healthcare services provided, while some indicated negative experiences. Areas for improvement in the referral transportation experience were identified, with a need for better vehicles and improved communication. CONCLUSION: The study reveals positive and negative experiences among participants, but most participants have positive experiences in service deliveries during hospital referrals.Contribution: The study contributed to the literature by revealing the experiences of patients referred that might assist the management to develop strategies to address the challenges identified for quality healthcare.