中国农村卫生事业管理2025，Vol.45Issue(9)：640-646,7.DOI:10.19955/j.cnki.1005-5916.2025.09.006
对口医疗帮带对高原基层医院向上转诊的影响分析:以尼玛县人民医院为例
Impact of paired healthcare assistance on upward referrals in high-altitude primary hospitals:A case study of Nyima County People's Hospital
谢毅 1王广勇 1李喆 1米玛次仁 2于菲菲1
作者信息
- 1. 海军军医大学特色医学中心,上海 200052
- 2. 西藏自治区尼玛县人民医院
- 折叠
摘要
Abstract
Objective To evaluate the impact of paired healthcare assistance on hospital operations by comparing upward referral data of ambulance patients at Nyima County People's Hospital before and after the im-plementation of the assistance program,aiming to provide empirical evidence and policy recommendations for en-hancing clinical services and disciplinary development in high-altitude primary hospitals.Methods This study used the period of paired healthcare assistance from June to December 2022 as the window period,collected and analyzed relevant data on patients referred by outpatient and emergency ambulances before and after this period,and used statistical methods to conduct in-depth analysis and exploration of indicators such as patient number,dis-ease types,transport types,and patient prognosis.Results After paired healthcare assistance,the referral rate for patients with acute appendicitis,gallstones,and certain chronic diseases significantly decreased(P=0.0014),while the referral rate for trauma patients and other emergency patients increased.The referral rates for basic,escort,and medical types decreased,while that for severe cases increased(P=0.028).Conclusions Paired healthcare assistance has had a significant positive impact on the overall medical business capabilities of hospitals,but further strengthening is still needed in specialties such as pediatrics and critical care.These findings provide valuable empirical support for the development of primary hospitals in high-altitude areas and offer guiding suggestions for future policy formulation.关键词
高原基层医院/特高海拔/医疗帮带/向上转诊/医疗援藏/疾病谱/高原习服Key words
Primary hospitals in high-altitude areas/Ultra high altitude/Medical assistance/Upward ref-erral/Medical aid to Tibet/Disease spectrum/High-altitude acclimatization分类
医药卫生引用本文复制引用
谢毅,王广勇,李喆,米玛次仁,于菲菲..对口医疗帮带对高原基层医院向上转诊的影响分析:以尼玛县人民医院为例[J].中国农村卫生事业管理,2025,45(9):640-646,7.
