中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
4期
356-358
,共3页
李月%沈冬云%孙录%李红梅%张伟%李红梅%耿杰%肖志军%冯志刚%王志萍%曹林英%王丽梅
李月%瀋鼕雲%孫錄%李紅梅%張偉%李紅梅%耿傑%肖誌軍%馮誌剛%王誌萍%曹林英%王麗梅
리월%침동운%손록%리홍매%장위%리홍매%경걸%초지군%풍지강%왕지평%조림영%왕려매
社区卫生服务机构%医院%双向转诊
社區衛生服務機構%醫院%雙嚮轉診
사구위생복무궤구%의원%쌍향전진
Community health service organization%Hospitals%Two-way referral
目的 评价三级医院与其下属社区卫生服务机构的双向转诊效果,探讨三级医院与下属社区卫生服务机构相互之间转诊患者的路径.方法 以2007年1月-2008年3月由北京市海淀区永定路社区卫生服务中心及下属4个社区站转往航天中心医院住院的患者、转往各专科专家门诊和由社区医生开具申请单直接到医院交费做大型仪器设备检查的患者为试验组,以2007年1月-2008年3月在航天中心医院门、急诊收住院患者150人为对照组,比较两组院前时间、住院天数、检查费、药费、治疗费、床位费及总费用等数据.结果 社区转诊医院患者共计295人次(住院150人次,检查100人次,专家门诊45人次).两组的院前时间、住院总费用及治疗费比较,差异均有统计学意义(P＜0.05).社区转医院专家门诊以心内科(11/45)、内分泌科(9/45)最多;转医院大型仪器设备检查以B超(48/100)、CT(22/100)、核磁检查(16/100)最多.结论 三级医院办社区医疗能实现资源互补,为患者住院、门诊和各种检查提供最大方便.
目的 評價三級醫院與其下屬社區衛生服務機構的雙嚮轉診效果,探討三級醫院與下屬社區衛生服務機構相互之間轉診患者的路徑.方法 以2007年1月-2008年3月由北京市海澱區永定路社區衛生服務中心及下屬4箇社區站轉往航天中心醫院住院的患者、轉往各專科專傢門診和由社區醫生開具申請單直接到醫院交費做大型儀器設備檢查的患者為試驗組,以2007年1月-2008年3月在航天中心醫院門、急診收住院患者150人為對照組,比較兩組院前時間、住院天數、檢查費、藥費、治療費、床位費及總費用等數據.結果 社區轉診醫院患者共計295人次(住院150人次,檢查100人次,專傢門診45人次).兩組的院前時間、住院總費用及治療費比較,差異均有統計學意義(P＜0.05).社區轉醫院專傢門診以心內科(11/45)、內分泌科(9/45)最多;轉醫院大型儀器設備檢查以B超(48/100)、CT(22/100)、覈磁檢查(16/100)最多.結論 三級醫院辦社區醫療能實現資源互補,為患者住院、門診和各種檢查提供最大方便.
목적 평개삼급의원여기하속사구위생복무궤구적쌍향전진효과,탐토삼급의원여하속사구위생복무궤구상호지간전진환자적로경.방법 이2007년1월-2008년3월유북경시해정구영정로사구위생복무중심급하속4개사구참전왕항천중심의원주원적환자、전왕각전과전가문진화유사구의생개구신청단직접도의원교비주대형의기설비검사적환자위시험조,이2007년1월-2008년3월재항천중심의원문、급진수주원환자150인위대조조,비교량조원전시간、주원천수、검사비、약비、치료비、상위비급총비용등수거.결과 사구전진의원환자공계295인차(주원150인차,검사100인차,전가문진45인차).량조적원전시간、주원총비용급치료비비교,차이균유통계학의의(P＜0.05).사구전의원전가문진이심내과(11/45)、내분비과(9/45)최다;전의원대형의기설비검사이B초(48/100)、CT(22/100)、핵자검사(16/100)최다.결론 삼급의원판사구의료능실현자원호보,위환자주원、문진화각충검사제공최대방편.
Objective To evaluate the effectiveness of two-way referral between hospitals and their subordinate community health services (CHS) organizations so as to explore the way to referral of patient between a 3-graded hospital and its subordinate CHS organizations. Methods From January 2007 to March 2008,totally 295 patients transferred from the Yongdinglu CHS center and its 4 subordinate stations in Haiding district of Beijing to the Hospital of Astronautical Clinical College of Beijing University (150 for hospitalization,100 for examination,and 45 for specialist clinic) were enrolled as trial group,and another 150 inpatients from the clinic or emergency department of the Hospital as the controls. Then the data of the patients in the two groups were compared,including pre-hospital time,days of hospitalization,as well as expenses for examination,drug,treatment,bed and the total. Results There were significant differences between the two groups in pre-hospital time,total expense of hospitalization,therapeutic expenses (P＜0.05). Among all the 45 patients transferred to specialist clinic,11 went to the cardiology department and 9 to the endocrine department. And among all the 100 patients transferred for examination,there were 48 for B-ultrosonography,22 for CT scanning,and 16 for nuclear magnetic examination.Conclusion The community health service run by a 3-graded hospital can share medical resources,and facilitate greatly patients in hospitalization,clinical and various examinations.
