Preventive and Social Medicine, Patna Medical College, Bihar.
Indian J Public Health. 2009 Jul-Sep;53(3):143-6.
The key objective of the study was to evaluate the coverage and functioning of the referral transport system under NRHM in block PHCs of district Patna in Bihar.
A cross-sectional descriptive study was conducted during October-November, 2008 in 16 block PHCs in Patna. In-depth interviews were conducted at 811 households where there was an occasion to transfer a patient to a hospital in the previous two months time. Medical officer in-charge and civil surgeon of the district were also interviewed. Besides, focus group discussions were conducted with the community members and leaders regarding the functioning of referral transport.
Availability of the referral transport services was irregular mainly due to deputation of the vehicles for flood relief activities or other purposes. 93 (11.5%) of respondents used the PHC transport facilities, of which 52.7% got it instantaneously. 'Dial an ambulance 102' services were mainly used by urban clients. The system was following an arbitrary cost structure. 84.2% of the clients belonging to below poverty line had to pay for the service and are afraid of availing the services.
Inadequate number of ambulances in PHCs, unequipped ambulances, lack of life saving equipments, 24 hours duty by single driver, arbitrary cost frame work and urban preference for services were some of the factors leading to unpopularity of the scheme.
本研究的主要目的是评估在比哈尔邦帕特纳地区 PHC 区块的 NRHM 下转诊运输系统的覆盖范围和运作情况。
2008 年 10 月至 11 月，在帕特纳的 16 个 PHC 区块进行了一项横断面描述性研究。在过去两个月中有过转诊住院的 811 户家庭中进行了深入访谈。还对该地区的主治医生和外科医生进行了访谈。此外，还就转诊运输的运作情况与社区成员和领导人进行了焦点小组讨论。
转诊运输服务的可用性很不规律，主要是因为车辆被派去进行抗洪救灾活动或其他用途。93（11.5%）名受访者使用了 PHC 运输设施，其中 52.7%的人立即获得了服务。“102 号急救电话”服务主要被城市客户使用。该系统采用任意的成本结构。84.2%的贫困线以下的客户必须支付服务费用，并且害怕使用该服务。
PHC 救护车数量不足、救护车设备不足、缺乏救生设备、24 小时单人司机值班、任意的成本框架和城市对服务的偏好是导致该计划不受欢迎的一些因素。
