What does this research mean for the field?

During back-referrals under South Korea's tertiary hospital restructuring pilot, patients report clear communication about the referral process but demonstrate lower awareness regarding the transfer of their clinical information to receiving facilities. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate patient experiences, determine the primary reasons for back-referral to secondary or community hospitals, and identify determinants of hospital choice during a tertiary hospital restructuring pilot project.

August 28, 2026Health Insurance Review & Assessment Service ResearchOpen Access

Patient Experiences with Back-Referral Under a Tertiary Hospital Restructuring Pilot Project in South Korea

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Authors

HLHooyeon Lee KLKyungin Lee JKJi Eun Kim

Discussion

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Overview

Cross-sectional survey reveals positive communication but lower clinical data transfer awareness in transferred hospital patients, highlighting the need for standardized data-sharing protocols.

Key Points

To evaluate patient experiences, determine the primary reasons for back-referral to secondary or community hospitals, and identify determinants of hospital choice during a tertiary hospital restructuring pilot project.
Cross-sectional survey conducted via computer-assisted telephone interviews.
Sample included 102 patients discharged across 33 tertiary hospitals.
Patients frequently reported clear explanations regarding referral necessity (80.4%) and process (74.5%), but fewer were aware of clinical information transfers to receiving physicians (63.0%).
Rehabilitative or long-term care needs served as the primary reason for back-referral (46.1%).
Proximity and convenience were the top determinants for hospital selection (42.4%), followed by direct arrangements by the referring tertiary facility (31.5%).

Cite This Study

Lee et al. (2026) studied this question.

synapsesocial.com/papers/6a9145c5d15324a1df3a90d8 https://doi.org/10.52937/hira.26.6.2.e4

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August 28, 2026Health Insurance Review & Assessment Service ResearchOpen Access

Patient Experiences with Back-Referral Under a Tertiary Hospital Restructuring Pilot Project in South Korea

View Full Paper

Ask AI

Bookmark

Authors

HLHooyeon Lee KLKyungin Lee JKJi Eun Kim

Discussion

Member takes

Overview

Cross-sectional survey reveals positive communication but lower clinical data transfer awareness in transferred hospital patients, highlighting the need for standardized data-sharing protocols.

Key Points

To evaluate patient experiences, determine the primary reasons for back-referral to secondary or community hospitals, and identify determinants of hospital choice during a tertiary hospital restructuring pilot project.
Cross-sectional survey conducted via computer-assisted telephone interviews.
Sample included 102 patients discharged across 33 tertiary hospitals.
Patients frequently reported clear explanations regarding referral necessity (80.4%) and process (74.5%), but fewer were aware of clinical information transfers to receiving physicians (63.0%).
Rehabilitative or long-term care needs served as the primary reason for back-referral (46.1%).
Proximity and convenience were the top determinants for hospital selection (42.4%), followed by direct arrangements by the referring tertiary facility (31.5%).

Cite This Study

Lee et al. (2026) studied this question.

synapsesocial.com/papers/6a9145c5d15324a1df3a90d8 https://doi.org/10.52937/hira.26.6.2.e4

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