摘要
目的了解广州市临床重复检查现状,为政府采取相应干预措施提供参考。方法通过问卷调查获取数据并对数据进行描述性分析、χ2检验和logistics回归分析。结果临床重复检查率为73.0%,单因素分析(检查区域、医院级别P值为0.206、0.250)和基于logistics回归的多因素分析(经济发达地区的P为0.890,区县级医院和社区卫生服务中心(站)或乡镇卫生院的P为0.141、0.784)显示,检查区域和医院级别均不是临床重复检查的影响因素,检查项目数(单因素分析P为0.005,多因素分析P为0.008)是重复检查的影响因素,检查项目数量为1项的重复检查率是检查项目数为2项的2.57倍。结论临床重复检查仍普遍存在,互认制度落实困难且阻力较大,需政府、医院、医务人员及患者的共同努力,通过设立独立检验机构、加强医患沟通、完善政府补偿机制及相关法规等手段改善现状。
Objective To study the status of clinical reexamination in Guangzhou City,and to provide reference for the government to take corresponding intervention measures.Methods Questionnaire survey was used to get the data,and the data were used to do descriptive analysis and chi-square test and binary logistics regression analysis.Results The clinical reexamination rate is 73.0%,single factor analysis(P value of inspection area and hospital level are 0.206 and 0.250)and multivariate analysis based on logistic regression(P value is 0.890 in economically developed areas,county hospitals and community health).The P value of the service center(station)or the township hospital is 0.141 and 0.784.It is shown that the inspection area and the hospital level are not the influencing factors of the clinical reexamination.The number of inspection items(the single factor analysis P value is 0.005,the multi-factor analysis P value is 0.008)is the important influencing factor of repeated inspections.The number of inspection items is one item,and the number of inspection items is 2.57 times of inspection items.Conclusion Clinical reexamination is still widespread.Mutual recognition system implementation is difficult and resistance is larger.It is necessary for the government,hospitals,medical staff and patients to work together to improve the status quo through the establishing independent inspection agencies,streng thening communication between doctors and patients,and improving government compensation mechanisms and related regulations.
作者
孙刚
熊嘉丽
张宇瑶
王冬
SUN Gang;XIONG Jia-li;ZHANG Yu-yao(Faculty of Health Management,School of Health Management,Southern Medical Univer.sity,Guangzhou,Guangdong,510515,China)
出处
《中国医院管理》
北大核心
2019年第2期31-33,共3页
Chinese Hospital Management
基金
国家社会科学基金项目(16BGL184)
关键词
临床重复检查
医疗资源
互认制度
clinical reexamination
medical resources
mutual recognition system
