摘要
目的了解南京市高淳区医院患者对分级诊疗的看法和转诊意愿,发现问题并提出建议,为完善分级诊疗制度提供参考。方法随机抽取某日高淳区人民医院住院患者150人进行问卷调查,共回收有效问卷131份,并对这些问卷进行统计分析。结果被调查对象中,有108人(82.4%)患病后先到社区就医,有23人(17.6%)患病后没有先到社区就医,到社区首诊的主要原因分别是离家近、患的是常见小病和收费便宜;有35人(26.7%)知道社区和医院开展了分级诊疗,有96人(73.3%)不知道已经实施分级诊疗制度;有22人(16.8%)经历过转诊,有109人(83.2%)未经历过转诊;有17人(13.0%)愿意在病情稳定后,转回社区进行治疗,有114人(87.0%)不愿意转回社区,不愿转回社区继续治疗的主要原因为不信任社区医疗技术、费用要重新交纳、麻烦和不了解社区提供家庭病床;有33人(25.2%)对转诊治疗结果满意。结论虽然患者在社区首诊的比例已经有所提高,但他们对于分级诊疗的知晓度仍比较低,转上不转下的意愿尤为明显,对于分级诊疗的评价也较为一般,认为应由自己决定是否参与分级诊疗。建议加大对分级诊疗的宣传,增强患者的了解;要尊重患者知情权,且加强社区与医院的分工协作,完善分级诊疗的配套制度,促进分级诊疗制度的落实。
OBJECTIVE Find problems and give advice by understanding perceptions of hierachical medical system and referral willingness of hospital patients in Gaoehun to provide references to improve hierarchical medical system. METHODS In Gaochun, questionnaire survey was conducted on 150 hospital patients by random sampling with 131 effective recovery, and carried out a statistical analysis of these data. RESULTS Among these patients, 82.4% would visit a doctor in community, 17.6% would see a doctor in hospital, because of the distance to their home, their common diseases and the price. 26.7% knew diagnosis and classification system and 73.3% did not know. 16.8% a referral and 83.2% did not experience. 13.0% were willing to download referral after they are in a stable condition and 87.0% did not want the referral, because the poor community medical technology, the procedures were complex and the understanding of community health was poor. 25.2% were satisfied to the result of two way referral. CONCLUSION Though Ratio of community first diagnosis has been improved, awareness of hierarchical medical system was not good. They were willing to upward referral, but they did not want to download referral. They made a general evaluation on hierarchical medical system and thought to decide to get involved in referral by themselves. In order to develop hierarchical medical system, people should step up in publieity, enhance the understand, respect the right to know, expand cooperation between hospital, community and improve hierarchical medical system and promote the implementation.
出处
《中国初级卫生保健》
2016年第7期1-3,34,共4页
Chinese Primary Health Care
基金
南京医科大学校科技发展基金(KY1070232081116175)
关键词
住院患者
分级诊疗
认知
意愿
inpatients
hierarchical medical system
cognition
willingness
