Paediatric patient referrals from Greenland to the National University Hospital, Rigshospitalet, Denmark

INTRODUCTION. Greenlandic patients may be referred to Denmark for specialised diagnostics and treatment. The main
collaborator for these activities is the National University Hospital, Rigshospitalet, Copenhagen. We aimed to investigate the
referral pattern of Greenlandic paediatric patients to Rigshospitalet.
METHODS. This was an observational quality assurance project comprising all Greenlandic patients below 18 years who
received healthcare services at Rigshospitalet in the 2017-2021 period. This period was chosen to obtain the most updated, available and coherent data possible. Unique patients and disease courses were stratified by paediatric subspecialities and
procedures.
RESULTS. During the five-year period, a total of 310 unique patients were referred to Rigshospitalet, resulting in a total of 676
disease courses and yielding an average 62 annual referrals of paediatric Greenlandic patients. This represents around 0.5% of all Greenlandic children. Age groups were distributed as 28% aged 0-1 years, 23% 2-4 years, 13% 5-9 years, 21% 10-14 years and 16% 15-17 years. During the study period, the number of disease courses increased by 89% with most patients being managed as outpatients. The subspecialities with most referrals were ophthalmology (17%), oto-rhino-laryngology (16%) and
cardiovascular diseases (10%).
CONCLUSIONS. Approximately 0.5% of Greenlandic children were referred annually to Rigshospitalet with a marked increase being observed during the five-year study period. We observed a shift towards an increasing proportion of outpatient
treatments at Rigshospitalet.
FUNDING. None.
TRIAL REGISTRATION. Not relevant.