中国全科医学2017，Vol.20Issue(10)：1177-1180,4.DOI:10.3969/j.issn.1007-9572.2017.10.007
社区居民双向转诊的下转意愿及其影响因素研究
Willingness of Down - referral of Community Residents and Its Influencing Factors
摘要
Abstract
Objective To study the willingness of down - referral of community residents and discuss its influencing factors. Methods By simple random sampling method,2 districts were extracted from the 7 districts of Xuzhou City,then 4 communities were selected from each district,and 40 community residents were randomly invested in each community. A self -designed questionnaire was used to conduct a questionnaire survey from July to September 2015. The main contents of the questionnaire included the basic situation of community residents,their cognition,attitude and willingness of two - way referral. A total of 320 questionnaires were sent out and 298 valid questionnaires were collected. The effective response rate was 93. 1%. Results Of the 298 community residents,180 (60. 4%)were willing to accept down - referral. Univariate analysis showed that the willingness of down - referral among community residents with different age,educational level,average monthly income,hospitals of usual visits and whether worried about the community health care technology,and whether believed that down - referral will affect the continuity of treatment was significantly different (P < 0. 05). Multivariate Logistic regression analysis showed that the average monthly income,whether worried about the community health care technology,and whether believed that down - referral will affect the continuity of treatment was the influencing factors of the willingness of down - referral of community residents (P < 0. 05). Conclusion The average monthly income,whether worry about the community health care technology,and whether believed that down - referral will affect the continuity of treatment influence community residents′willingness of down - referral. The implementation of two - way referral should be promoted from the aspects of building information platform of two - way referral and improving medical technology of community health.关键词
双向转诊/下转/影响因素分析/社区居民Key words
Two - way referral/Down - referral/Roots cause analysis/Community residents分类
医药卫生引用本文复制引用
高翔,张新宇,李硕,陈瑞军,赵世鸿..社区居民双向转诊的下转意愿及其影响因素研究[J].中国全科医学,2017,20(10):1177-1180,4.基金项目
江苏高校哲学社会科学研究项目 (2014SJB411) （2014SJB411）
江苏省社会科学基金一般项目 (15GLB012) （15GLB012）
江苏省社科应用研究精品工程课题 (14SWA - 046) （14SWA - 046）
徐州市社会科学研究课题 (15XSZ - 061) （15XSZ - 061）
