Referrals and Counter-referrals in the Bolivian Health System

Monitoring of Hospital Transfers

This NHIS database records monthly referral and counter-referral processes between health facilities, disaggregated by type of institution, specialty, level of care, and region.

Main Features

• Types of movement: Referrals (transfers to higher complexity) and counter-referrals (returns to the primary level).
• Participating institutions: Data by sending and receiving entity.
• Territorial segmentation: Information by department, municipality, and type of management.

Use this database to analyze the efficiency of the referral system and its integration across levels of care.