中国全科医学2017，Vol.20Issue(10)：1168-1172,1180,6.DOI:10.3969/j.issn.1007-9572.2017.10.005
我国双向转诊的突破口剖析
Breakthrough of the Two - way Referral in China
摘要
Abstract
Objective To analyze the recent literatures of two - way referral in China and the breakthrough of research and development under the new situation,so as to provide basis for further improving China′s two - way referral. Methods Searching " two - way referral" in the commonly used Chinese databases and network resources,and finally 1241 journal articles,169 academic papers,23 conference papers were included. Evidence - based analysis was conducted to the time,type, publication,research direction,region and author′s specialty of the included literatures. Results Since 2000,there had been related literature researches on the two - way referral,after that the number of literature increased year by year steadily,and the main research type was review (874,70. 43%). The journals with top 4 number of literature publication were Chinese General Practice (278,22. 40%),China Hospital CEO (121,9. 75%), Chinese Health Economics (96,7. 74%), Chinese Primary Health Care (96,7. 74%). 704 (56. 72%)papers′ research direction was model mechanism exploration,221 (17. 81%)papers′ were the status and the countermeasures analysis. 307 (24. 74%)papers′ region was mainly in Shanghai, 276 (22. 24%)in Beijing. The professional direction of 718 (57. 86%)first authors concerning the included literature was public health. Conclusion Based on literature reading and review,the paper summarizes the problems in the two - way referral, puts forward that making breakthroughs in the development dilemma of two - way referral should combine with the current status of medical and health reform, and comprehensive reform practice should be carried out from the perspective of system engineering. Moreover,perfecting guidelines of the two - way referral of single disease;a patient - centered referral should be provided to improve the experience of patients.关键词
双向转诊/循证分析/问题解决Key words
Two - way referral/Evidence - based analysis/Problem solving分类
医药卫生引用本文复制引用
陆媛,范会芹,王朝昕,石建伟,陈远虹,张斌,张含之,于德华..我国双向转诊的突破口剖析[J].中国全科医学,2017,20(10):1168-1172,1180,6.基金项目
上海市卫生与计划生育委员会课题 (201440344) （201440344）
上海市卫生计生系统重要薄弱学科建设计划基金 (2015ZB0603) （2015ZB0603）
