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BMC Health Services Research. 2024;24:623.", "country_ids": [ "BGD" ], "coverage_domains": [ "hospital_organization", "market_structure", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "Results and Pattern of referral, paragraphs 3, 26 and 31" }, "material_id": "material:ceb0f8f510f00f0d3820ebb4", "notes": [ "Do not generalize the 59% figure nationally.", "Keep government and private tertiary-hospital participation visible." ], "origin": "candidate-analytical-mappings", "period": "Cross-sectional study reported 2024", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "2c1f69c429598fc0b5b7cb3d59fc0ab3650c5c2d567c95e4039bccef8badd244" }, "statement": "A 2024 cross-sectional study of 822 patients at two selected tertiary hospitals found 59% self-referral and identified institutional referral origins across public primary, district, tertiary and private-clinic settings.", "tags": [], "territory": "Two selected tertiary hospitals in Bangladesh, one government and one private", "title": "Observed self-referral at two selected tertiary hospitals", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11110194/" } ] }, { "analytical_mapping": { "mapping_basis": "declared_from_bhfs_2022_hsr_2015_and_hpnsp_2017", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:BGD:actors-functions:plural-national-and-local-architecture", "source_projection_ids": [ "country-improvement-source:BGD:bhfs-2022-final-report", "country-improvement-source:BGD:bangladesh-health-system-review-2015", "country-improvement-source:BGD:fourth-hpnsp-pip-2017" ], "support_state": "candidate_supported", "target_slot": "mohfw-directorates-local-government-and-provider-architecture", "target_view": "functions", "typed_fields": { "family_planning_delivery": "DGFP operates MCH-FP services from district to community level", "health_service_delivery": "DGHS operates delivery infrastructure from national to ward level", "national_policy_and_stewardship": "MOHFW formulates national policies, plans and decisions for health care and education", "non_state_providers": "NGO and private institutions are part of the documented delivery system", "urban_primary_care": "Urban PHC is mandated to the Ministry of Local Government, Rural Development and Cooperatives" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "NIPORT and icddr,b. 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Bangladesh Health Facility Survey 2022 Final Report. 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Bangladesh health system review. 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Descriptive report on introduction and scale-up of the Structured Referral System. 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Bangladesh Health Sector Support Project (P160846): Implementation Status and Results Report, Sequence 7. 9 June 2020. https://documents1.worldbank.org/curated/en/088041024155973251/pdf/P160846-e6d1b612-f84c-42bc-8b7f-2150a56dbac4.pdf", "country_ids": [ "BGD" ], "coverage_domains": [ "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "guidelines for screening, referral and management of hypertension", "institution": "World Bank", "locator": { "locator_type": "pdf_page_anchor", "physical_pdf_page": 5, "section": "Sector Program achievements to date", "source_word_anchor": "guidelines for screening, referral and management of hypertension", "source_word_count": 8 }, "material_id": "material:386753ef64f1b3b39aca3d27", "notes": [ "Retain the report's reported and pending-verification distinctions.", "Do not generalize targeted divisional or Cox's Bazar results to Bangladesh nationally." ], "origin": "country-evidence-improvement-sources", "period": "Implementation status reported to June 2020, including FY17 to FY20 results", "publication_date": null, "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "14fdfac36d8723c6caf96c20762fa81415322dddead6e48e7247f3f181414ee5", "page_count": 33, "response_sha256": "14fdfac36d8723c6caf96c20762fa81415322dddead6e48e7247f3f181414ee5" }, "statement": "The implementation report records scoped programme results and explicitly distinguishes reported from verified results in Sylhet and Chattogram divisions and Cox's Bazar District.", "tags": [], "territory": "HSSP national systems work, targeted Sylhet and Chattogram divisions, and Cox's Bazar District component", "title": "Health Sector Support Project: Implementation Status and Results Report", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/088041024155973251/pdf/P160846-e6d1b612-f84c-42bc-8b7f-2150a56dbac4.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hossain N, Islam S, and colleagues. Patient self-referral patterns in a developing country: characteristics, prevalence, and predictors. 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Predictors and consequences of rural clients' satisfaction level in the district public-private mixed health system of Bangladesh. 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Program Implementation Plan: Fourth Health, Population and Nutrition Sector Program, January 2017 to June 2022. 2017. https://platform.who.int/docs/default-source/mca-documents/policy-documents/plan-strategy/bgd-cc-31-01-plan-strategy-2017-eng-final-pip-wu.pdf", "country_ids": [ "BGD" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "market_structure", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "functionally coordinated PHC service", "institution": "Ministry of Health and Family Welfare, Government of Bangladesh", "locator": { "locator_type": "pdf_page_anchor", "physical_pdf_page": 115, "section": "Programme characteristics and new elements", "source_word_anchor": "functionally coordinated PHC service", "source_word_count": 4 }, "material_id": "material:788fd88482cdf0b0cb0a3872", "notes": [ "Treat programme actions as formal intent unless implementation evidence is separately cited." ], "origin": "country-evidence-improvement-sources", "period": "Programme period January 2017 to June 2022", "publication_date": null, "publication_year": 2017, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "322120eebba9a463e8dcc795d46a199391b435996ee57028ae4d67c0a0936f1a", "page_count": 674, "response_sha256": "322120eebba9a463e8dcc795d46a199391b435996ee57028ae4d67c0a0936f1a" }, "statement": "The programme formally set coordinated primary care, stewardship and non-state engagement priorities; these priorities are not evidence of completed implementation.", "tags": [], "territory": "Bangladesh national programme, with specified hard-to-reach and Chittagong Hill Tracts provisions", "title": "Program Implementation Plan: Fourth Health, Population and Nutrition Sector Program", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://platform.who.int/docs/default-source/mca-documents/policy-documents/plan-strategy/bgd-cc-31-01-plan-strategy-2017-eng-final-pip-wu.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Bangladesh Public Procurement Authority. Request for Expression of Interest for a study on Establishing Referral System in Public Healthcare Services in Bangladesh: Scopes, Opportunities and Challenges. 8 April 2022. https://www.bppa.gov.bd/advertisement-services/details-7427.html", "country_ids": [ "BGD" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "market_structure", "networks", "observed_referral", "patient_flows", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "there is no structured referral system in Bangladesh", "institution": "Bangladesh Public Procurement Authority", "locator": { "locator_type": "web_sections", "source_word_anchor": "there is no structured referral system in Bangladesh", "source_word_count": 8 }, "material_id": "material:ee1434ed950b97b27e7f493e", "notes": [ "Treat this as a 2022 administrative problem statement and research commissioning rationale, not an independently measured result." ], "origin": "country-evidence-improvement-sources", "period": "Procurement notice published 2022-04-08", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "4b7ab457d7eb8b6abbd475af88a891be202dcdea54e9bd96927ed476a0be0681" }, "statement": "The official procurement notice reports a plural system and no structured referral system, then commissions research to develop one; it is not a referral-flow measurement study.", "tags": [], "territory": "Bangladesh public healthcare services, as described in a national procurement notice", "title": "Request for Expression of Interest: Establishing Referral System in Public Healthcare Services in Bangladesh", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.bppa.gov.bd/advertisement-services/details-7427.html" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "Bangladesh - Health Nutrition And Population Sector Program. 2013. https://documents1.worldbank.org/curated/en/121901474648805505/pdf/000020051-20140625225200.pdf", "country_ids": [ "BGD" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": "candidate corpus source", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "physical_pdf_page": 3, "source_word_anchor": "quality of care serious governance issues in the sector changing epidemiology with" }, "material_id": "candidate-source:BGD:421de31ebf4dfbda841f", "notes": [ "Public source projection retained as a distinct stage record." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2013, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "previous_visibility": "previously_projected" }, "source_layers": [ "candidate_corpus_page_locator", "grey_literature" ], "source_system": "global_corpus", "source_version": { "file_sha256": "29e5656506c3b77157d845e697f4f76f4827c61b28b8f96413d77f651ca232b3", "text_sha256": "4490b83d76de94c778d6dd882270b92e84d5038603b21bc800638c5a92c69f39" }, "statement": null, "tags": [ "corpus_excerpt_queue" ], "territory": null, "title": "Bangladesh - Health Nutrition And Population Sector Program", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/121901474648805505/pdf/000020051-20140625225200.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Bangladesh - Health Sector Support Project. 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Bangladesh - Public Expenditure Tracking Survey : Case Study of the Health Sector​ - Dissemination Workshop. 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Feasibility Assessment of ​Introducing Framework Contract Mechanism in Health Sector ​of Bangladesh. 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Path to Transform Bangladesh's Health System for Better Results. 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Primary Health Care System of Bangladesh : A Primary Health Care Performance Initiative Assessment. 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