中国卫生资源2016，Vol.19Issue(4)：315-317,322,4.DOI:10.13688/j.cnki.chr.2016.16145
上海市某区分级诊疗制度实施现状分析
Analysis of current status of implementing a tertiary referral medical care system in a district of Shanghai
计光跃 1胡立安 1史明秀 1朱永松2
作者信息
- 1. 上海市第十人民医院 后勤保障处，上海 200072
- 2. 上海市第十人民医院 院长办公室，上海 200072
- 折叠
摘要
Abstract
Objective:To understand current status of a tertiary referral medical care system in Zhabei,Shanghai through residents questionnaire survey;to provide policy recommendations for establishing a tertiary referral medical care system. Methods:A self-designed questionnaire survey was conducted among 900 community residents through accidental sampling,855 were returned and the valid returned rate was 95.0%. Results:First diagnosis rate in community health service centers was only 40.4%;the major potential factors hindered residents from being referred from community health service centers to hospitals were “green channel” and “referral procedure is complicated”. The major potential factors of residents referred from hospitals to community health service centers were “stable condition” and “poor community environment and equipment”. The result showed 14.4% of surveyed residents had received community referral service and 78.9%of survey residents repeated the same inspection in hospitals. Conclusion:First diagnosis rate in community health service centers and referral rate among Shanghai residents were low;the repetitive examination rate was high. Some recommendations were put forward,such as improving basic community health services supply capacity,constructing medical association,establishing an information sharing platform,and developing unified criteria for referral.关键词
分级诊疗/社区/医院/转诊Key words
tertiary referral medical care system/community health/hospital/referral分类
预防医学引用本文复制引用
计光跃,胡立安,史明秀,朱永松..上海市某区分级诊疗制度实施现状分析[J].中国卫生资源,2016,19(4):315-317,322,4.
