Bridging the Gap in Emergency Care: A Comparative Study of Referred Complicated Cases from Sudurpashchim and Karnali Provinces Due to Resource Limitations—A One-Year Institutional Analysis and Policy Call

Author(s)	Dr. Nirmal Thapa, Dr. Binamra Bista, Dr. Kabita Sah Swarnkar, Dr. Robin Khapung, Dr. Amit Shah, Dr. Nabin Thapa, Dr. Rishi Kant Aryal
Country	India
Abstract	Nepal’s remote provinces—Sudurpashchim and Karnali—face frequent referrals of complicated medical and surgical cases due to limitations in manpower, diagnostic tools, operative capacity, and ICU support. This study compares one-year data on such referrals and proposes sustainable solutions for health system strengthening.
Keywords	Referral system, complicated cases, resource-limited settings, Karnali, Sudurpashchim, health policy, Nepal, institutional gap
Field	Medical / Pharmacy
Published In	Volume 7, Issue 6, November-December 2025
Published On	2025-11-05
DOI	https://doi.org/10.36948/ijfmr.2025.v07i06.59671

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