Baseline Survey on Referrals and Healthcare Provider Needs in View for an Electronic Referral System

The study aimed to evaluate the formats and completeness of the current paper-based referral system and assess user needs for designing an electronic referral system. Conducted in eight public health facilities in Kigali city, the mixed methods approach identified seven different referral letter formats, with the external transfer form averaging 58.8% completeness. Of the 61 elements on this form, 38 were suggested as mandatory and 23 as optional. Focus group discussions confirmed some elements and disputed others. Healthcare providers shared their needs and expectations for the electronic system. The study’s outcome provides a clear understanding of the existing referral system and healthcare provider requirements, leading to the design of an electronic referral form.