四川医学2018，Vol.39Issue(2)：231-235,5.DOI:10.16252/j.cnki.issn1004-0501-2018.02.032
崇州市医联体模式下分级诊疗现状调查及对策
Current Situation Investigation and Countermeasures of Hierarchical Medical System Under Medical Treatment Al-liance Mode in Chongzhou City
摘要
Abstract
Objective Toinvestigate the current implementation status of hierarchical medical system under medical treat-ment alliance mode in Chongzhou and to discuss countermeasures to further promote hierarchical medical system under medical treatment alliance mode.Methods 319 medical staffs in hospitals at all levels in Chongzhou were investigated for approval,con-cern and satisfaction of hierarchical medical system,identification rate of basic initial diagnosis,participatory approach of hierarchi-cal diagnosis and treatment and cognition for influence factors of hierarchical diagnosis and treatment,so as to provide references for countermeasures enacting.Results The recognition rate of medical staffs was higher than 90%,the concern rate was 62.7%,sat-isfaction rate for dual referral was 52.1% and identification rate for community initial diagnosis was 50.3%.75.2% of the inform-ants acquired knowledge of hierarchical diagnosis and treatment through training courses,49.2% through publicity materials and less than 30% through news or network.Satisfaction rates for referral patterns differed between different departments,the difference being statistically significant(P<0.05).Non-conditional Logistic regression analysis of satisfaction showed that satisfaction rate of first-class hospital was higher than tertiary and second-class hospital,the former being 1.540(1.073 to 2.209)times of the latter, and satisfaction rate of gynecology department was higher than internal medicine department,the former being 5.577(2.034 to 15.296)times of the latter.Conclusion It is necessary to improve the hierarchical medical system,strengthen publicity of hierar-chical medical mode,promote cognition and support of the medical staffs for hierarchical medical mode,and enhance collaboration among medical institutions at all levels.关键词
医联体模式/分级诊疗/现状/对策Key words
medical treatment alliance/hierarchical diagnosis and treatment/current situation/countermeasure分类
医药卫生引用本文复制引用
张丽红,吴文斌,叶霞..崇州市医联体模式下分级诊疗现状调查及对策[J].四川医学,2018,39(2):231-235,5.
