中国康复理论与实践2023，Vol.29Issue(12)：1481-1488,8.DOI:10.3969/j.issn.1006-9771.2023.12.013
城市医疗集团康复患者向下转诊意愿及影响因素
Downward referral willingness of rehabilitation patients in an urban medical group and its influencing factors
李经宇 1吕云 2辛雨 3李硕 4彭思静 1密忠祥5
作者信息
- 1. 清华大学医院管理研究院,北京市 100084||国药医疗健康产业有限公司,北京市 100029
- 2. 国药同煤总医院,山西大同市 037003
- 3. 清华大学医院管理研究院,北京市 100084
- 4. 清华大学医院管理研究院,北京市 100084||北京中医药大学东直门医院,北京市 101100
- 5. 中国康复研究中心,北京市 100068
- 折叠
摘要
Abstract
Objective To investigate the willingness of rehabilitation patients within an urban medical group to accept downward re-ferrals and analyze the influencing factors.
Methods From June to October,2023,a survey was conducted using a simple random sampling method among neuro-logical and orthopedic rehabilitation patients in hospitals within a specific urban medical group.The 2013 ver-sion of the Andersen Model was employed to construct a theoretical framework for the willingness of rehabilita-tion patients to accept downward referrals and influencing factors.Within this framework,a questionnaire was de-signed using a 5-point Likert scale,comprising three sections including personal characteristics,environmental features and healthcare service utilization choices,totaling 23 questions.A preliminary survey was conducted,and the questionnaire had underwent reliability and validity testing.
Results A total of 350 questionnaires were collected,with 314 valid questionnaires.The willingness of rehabilitation pa-tients to accept downward referrals was found to be associated with age,rehabilitation specialties,rehabilitation phases,previous experiences with downward referrals,awareness of and perceptions regarding bidirectional refer-ral policies,and understanding and opinions about the urban medical group(χ2>7.755,P<0.05).The primary influencing factors were rehabilitation specialties,rehabilitation phases,previous experiences with downward re-ferrals and perceptions of the necessity of bidirectional referral policies(P<0.05).
Conclusion Rehabilitation specialties,rehabilitation phases,previous experiences with downward referrals and percep-tions of the necessity of bidirectional referral policies are the primary factors that influenced the willingness of re-habilitation patients to accept downward referrals.We should formulate targeted and focused improvement mea-sures based on the specific circumstances and key influencing factors of rehabilitation patients within the urban medical group regarding their willingness to accept downward referrals.Continuously enhancing the proportion of patients willingness to accept downward referrals is essential for the effective implementation of bidirectional referral for rehabilitation patients.关键词
康复/向下转诊/影响因素/城市医疗集团Key words
rehabilitation/downward referral/influencing factors/urban medical group分类
医药卫生引用本文复制引用
李经宇,吕云,辛雨,李硕,彭思静,密忠祥..城市医疗集团康复患者向下转诊意愿及影响因素[J].中国康复理论与实践,2023,29(12):1481-1488,8.
