中国全科医学2018，Vol.21Issue(4)：375-381,7.DOI:10.3969/j.issn.1007-9572.2018.04.001
全科医疗转诊体系框架研究
Framework of the Referral System in Primary Care Practice
摘要
Abstract
Clinical referral, frequently occurred in general practice, is an important component of the hierarchical medical system. A high-quality referral system ensures patients' access to continuous, coordinated and integrated medical services. The development of a comprehensive analytical framework of the referral system will facilitate the researchers and policy makers to comprehensively evaluate the relationship among all elements in the referral system, and guide them to establish and improve a referral system. In this study, based on the systematical review of the researches on referral systems in foreign countries, we constructed a framework of referral system in primary care practice by employing systems theory, of which the four key elements with expounded connotations are:individuals involved in the referral and their responsibilities, referral decision-making, transmission and integration of referral information and referral management system. Finally, three suggestions were put forth for further referral study in China: (1) attaching importance to and giving full play to the role of the referral letter; (2) developing referral guidelines; (3) paying attention to management attributes of the referral system and exploring the function of referral management system.关键词
全科医学/分级诊疗/转诊体系Key words
General practice/Hierarchical medical system/Referral system分类
医药卫生引用本文复制引用
余明洁,Li Li,匡莉..全科医疗转诊体系框架研究[J].中国全科医学,2018,21(4):375-381,7.基金项目
国家自然科学基金面上项目(71673311) （71673311）
