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Construction and Evaluation of the Bidirectional Referral System in Internet Hospital: Case Study of Children’s Hospital in Western China

Construction and Evaluation of the Bidirectional Referral System in Internet Hospital: Case Study of Children’s Hospital in Western China

For example, Zhao et al [15], analyzed the status of the bidirectional system between Sichuan Provincial People’s Hospital and 21 community health service centers in Chengdu from April 2010 to March 2011, finding that the ratio of downward to upward referrals was only 4.94%. The notably low downward-to-upward referral ratio in the IBR system may be attributed to several factors.

Qinling Li, Yunzhen Deng, Xiangdong Yin, Yingliang Li, Lan Hu, Bin Yang

J Med Internet Res 2025;27:e69765