CAJ | 학술논문

目的了解病人对双向转诊的知晓率,分析影响病人双向转诊意愿的因素,为卫生管理决策提供参考依据.方法采用问卷调查的形式收集资料,采用logistic回归模型对资料进行分析.结果 (1)影响病人双向转诊知晓率的因素有:病人对社区首诊的态度;病人居住地附近是否有社区卫生服务机构.(2)影响病人双向转诊意愿的因素有:病人对双向转诊可行性的态度;若社区与医院合作,病人对康复回社区的态度;若社区给予优惠,病人是否选择社区就医.结论应加强双向转诊和社区首诊的宣传力度,加大对社区卫生服务机构的支持力度,社区卫生服务机构应尽量给病人提供更多优惠,同时扩大社区卫生服务机构与医院的合作范围.
목적 료해병인대쌍향전진적지효솔,분석영향병인쌍향전진의원적인소,위위생관리결책제공삼고의거.방법 채용문권조사적형식수집자료,채용logistic회귀모형대자료진행분석.결과 (1)영향병인쌍향전진지효솔적인소유:병인대사구수진적태도;병인거주지부근시부유사구위생복무궤구.(2)영향병인쌍향전진의원적인소유:병인대쌍향전진가행성적태도;약사구여의원합작,병인대강복회사구적태도;약사구급여우혜,병인시부선택사구취의.결론 응가강쌍향전진화사구수진적선전력도,가대대사구위생복무궤구적지지력도,사구위생복무궤구응진량급병인제공경다우혜,동시확대사구위생복무궤구여의원적합작범위.
Objective To learn the awareness rate of patients for dual referral and analyze factors affecting their intent, in order to provide references for healthcare decision making. Method Data were collected with questionnaires, and analyzed with logistic regress model. Results (1) Factors for patients' awareness rate: Patients' attitude toward first treatment in community) accessibility to community healthcare centers in their vicinity. (2) Factors affecting patients' intention for dual referral: Patients' attitude toward dual referral feasibility; patients' attitude toward rehabilitation back to community if the community joins hands with a hospital; whether patients would choose the community for treatment if the community offers benefits. Conclusion Greater efforts are expected to encourage the people to embrace the practices of dual referral and first treatment in community, and to support community healthcare centers, in addition to expanding the cooperation between such centers and hospitals.