中国全科医学2012，Vol.15Issue(36)：4237-4239,3.DOI:10.3969/j.issn.1007-9572.2012.12.100
高血压患者双向转诊临床路径的探讨与分析
Discussion and Analysis of Hypertensive Patients with Two-way Referral Clinical Path
摘要
Abstract
Objective To discuss two - way referral clinical pathway in patients with hypertension and to evaluate the effect and benefit of two - way referral clinical pathway in patients with hypertension. Methods A total of 60 hypertension patients both referred to Ruikang hospital from community health service center affiliated to Ruikang hospital or referred to the community health service center from Ruikang hospital were selected as experiment group. Another 60 hypertension patients went to Ruikang hospital by their own were selected as control group. Clinical pathway of two - way referral of the two groups was established by reviewing cases, consulting experts, visiting sites, studying pilots and interviewing individuals. The recurrence rate, time of first visit, hospitalization, medical costs ( total cost, inspection cost, clinical cost, medicine cost ) and satisfactory level of patients were compared between the two groups. Results The recurrence rate of the experiment group was significantly lower than control group ( P <0. 01 ) . The time of first visit of the experiment group was significantly shortened compared with control group ( P < 0. 05 ) . The hospitalization of the two groups showed no statistically significant difference ( P > 0. 05 ) . The total cost, inspection cost, clinical cost and medicine cost of the experiment group were all significantly reduced compared with control group ( P < 0. 05 ) . The patients in the experiment group had significantly higher service satisfactory level, diagnosis and treatment satisfactory level, referral satisfactory level and medicine cost satisfactory level compared with control group ( P <0. 05 ). Conclusion Two - way referral is conducive to improving recurrence rate, time of first visit, hospitalization, medical cost and satisfactory level and can also make positive social impact and produce good economic benefit, so it is a practical and feasible clinical approach.关键词
高血压/临床路径/社区卫生服务Key words
Hypertension/ Clinical pathways/ Community health service分类
医药卫生引用本文复制引用
庞伦祥,阙路晟,廖康兴,石丽华,赖远全,梁永华,张春,吴燕,杨小英,吴汉周,倪云卫,黄春..高血压患者双向转诊临床路径的探讨与分析[J].中国全科医学,2012,15(36):4237-4239,3.基金项目
广西医疗卫生重点科研课题 (2010098) （2010098）
