Albanian Journal of Trauma and Emergency Surgery AJTES Official Publication of the Albanian Society for Trauma and Emergency Surgery -ASTES Chairman of the editorial board:
the process of patient referral system at the level of health care is a comprehensive institutional framework with responsible, welldefined competencies, as a network of cooperation with the general goal of maintaining health, treatment, stabilization, transport and medical care up to in the complete recovery of the sick. the process of patient referral system in most countries in europe and in the world is a challenge for most developing and developed countries. the mechanisms of the referral system function at different national, regional and municipal levels based on national laws and policies and work on the basis of efficient lines of communication by creating clear and simple steps and procedures described. the referral system in Kosovo is disorganized, chaotic, the Ministry of Health must have a national document of the referral system for patients at the health level, and before that all health care professionals are educated, trained on the way of the referral system, which cases must be sent from the primary, secondary and tertiary level. at the national level, the national coordinating council with a national plan of the patient referral system can convey the quality; help the health care professionals based on the current health legislation, the harmonization of unique standardized protocols with follow-up guidelines. Patients at the country level. Key word. referral system, patients, level, primary, secondary, tertiary, health care, national document