Abstract
Objective:
To evaluate the effectiveness of obstetric referrals
to the dr. Cipto Mangunkusumo National Central General
Hospital (RSCM), Jakarta, Indonesia, during the COVID-19
pandemic.
Methods:
This was a cross-sectional that compared the
effectiveness of referrals before (July-December 2019) and
during the COVID-19 pandemic (March-August 2020) at the
National Central General Hospital dr. Cipto Mangunkusumo
(RSCM). Referral effectiveness is assessed based on two
criteria, namely the suitability of the diagnosis and procedural
compliance which includes communication through the
integrated emergency response system (SPGDT), delivery by
ambulance, and attachment of a referral letter.
Results:
The study found 198 referral cases from 464 obstetric
cases (42.67%) before the pandemic and 231 referral cases
from 486 obstetric cases (47.53%) during the pandemic.
The diagnostic concordance increased from 57.58% before
the pandemic to 71.00% during the pandemic (p = 0.004).
Referral procedural compliance increased from 28.28%
before the pandemic to 45.45% during the pandemic (p <
0.001). Based on these criteria, the effectiveness of referrals
at the RSCM during the COVID-19 pandemic era was found
to be signi
fi
cantly higher, namely before the pandemic by
21.72% and during the pandemic by 40.26% (p < 0.001).