重庆医学2017，Vol.46Issue(33)：4708-4711,4.DOI:10.3969/j.issn.1671-8348.2017.33.033
重庆市慢病患者分级诊疗认知和就医意向现状调查研究
Survey on status quo of cognition of hierarchical diagnosis and treatment and intention of seeking doctor among patients with chronic disease in Chongqing City
摘要
Abstract
Objective To explore the cognition ,attitude and intention of seeking doctor on hierarchical diagnosis and treat-ment among the patients suffering from chronic diseases in Chongqing City .Methods A multistage stratified sampling method was adopted to investigate 1125 patients with chronic diseases extracted from 9 public hospitals as well as basic medical and health in-stitutions in 9 districts and counties of Chongqing City .Meanwhile ,the differences of intentions of seeking doctor and cognition situ-ation of hierarchical diagnosis and treatment were analyzed .Results The patients with chronic diseases in basic medical and health institutions were more likely to choose the basic medical and health institutions for seeking doctor than the patients treated in public hospitals ,the difference was statistically significant (χ2 = 190 .051 ,P<0 .01);31 .2% of the patients with chronic diseases never contacted the hierarchical diagnosis and treatment .The technical capabilities of basic medical and health institutions meeting treat-ment needs ,gradual improvement of medical condition and service level and trending to seeking doctor in basic medical and health institutions had statistical difference between the patients in public hospitals and patients in basic medical and health institutions (P<0 .01) .The aspects of understanding the current referral system between medical institutions and downward referral conducing the disease to obtain continuous long tern treatment had statistical difference between the patients in public hospitals and patients in basic medical and health institutions (P< 0 .01) .Conclusion In order to better carry out hierarchical diagnosis and treatment in Chongqing City ,it is necessary to perfect the supporting polices of hierarchical diagnosis and treatment for guiding the primary diag-nosis in the patients with chronic disease ,meanwhile establish an efficient dual referral mechanism and enlarge the propaganda of hi-erarchical diagnosis and treatment policy .关键词
慢病患者/分级诊疗/现状调查Key words
chronic diseases/hierarchical diagnosis and treatment/status quo survey分类
医药卫生引用本文复制引用
宋景麟,周小芹,张邦辉,陈虹..重庆市慢病患者分级诊疗认知和就医意向现状调查研究[J].重庆医学,2017,46(33):4708-4711,4.基金项目
重庆市决策咨询与管理创新重点项目(stc2016jccxBX0043). （stc2016jccxBX0043）
