摘要
目的从患者的角度探讨制约双向转诊实施的因素,促进长沙市分级诊疗体系的形成。方法通过分层随机抽样的方法,根据长沙市各个区域的经济发展情况将其分为高、中、低3等,每等级2个区,共6个区,再按照其经济情况划分为高、中、低3等,分别选取2个基层医疗机构,随机抽取361例患者进行问卷调查。对特殊参与双向转诊的患者、医生进行深度访谈。结果患者到基层医院首诊为60.9%,对双向转诊的知晓度为21.1%,经历过双向转诊并且对双向转诊服务满意的为85.7%,在病情需要的情况下愿意经过基层医疗机构转诊到上级医院为82.9%,在病情需要的情况下愿意经过上级医院转诊到基层医疗构进行康复治疗为77.6%。结论患者选择基层医疗机构首诊较少,家庭契约式服务签约率较低,双向转诊知晓度不高。
Objective To explore and discuss the factors for restricting the two-way referral system from the patient′s perspective in order to promote the formation of hierarchical medical system in Changsha City.Methods The stratified random sampling method was adopted to divide the Chansha City into the 3 grades of high,middle and low according to the regional economical development situation,2 districts in one grade,including 6 districts.Then each district was redivided into high,middle and low grades according to the economic situation,2 basic medical institutions were selected from each grade.A total of 360 patients were randomly sampled for conducting the questionnaire investigation.The patients and doctors specially participating in the two-way referral conducted the deep interview.Results The patients choosing to primary hospital for first visit accounted for 60.9%.The awareness degree of patients to two-way referral system was 21.1%,and the two-way referral service satisfaction in the patients with two-way referral was 85.7%.The patients′will of transfer treatment from primary hospital to superior hospital in case of disease condition need was 82.9%.The patients′will for conducting rehabilitation treatment from superior hospital to primary hospital was 77.6%.Conclusion Few patients choose primary hospital for first visit.The signing rate of family contract services is low and awareness degree of two-way referral system is not high.
出处
《重庆医学》
CAS
2018年第7期947-949,共3页
Chongqing medicine
基金
2016年国家级大学生创新创业训练计划项目(201610823009)
2016年湖南省教育厅科学研究项目(16C0194)
长沙医学院2017年大学生研究性学习和创新性实验计划项目(长医教[2017]18号)
关键词
转诊和会诊
双向转诊
患者
制约因素
referral and consultation
two-way referral system
patient
restraining factors
