CAJ | 학술논문

2008年2月至7月,选择需要转诊的26例高血压患者,其中血压控制不佳20例(77%),3例为新发高血压,3例为继发性高血压.平均随访日22 d(10～35 d).由社区的全科医生将患者的基本情况预先告知上级医院接诊医生,安排时间就诊,经过检查明确诊断或调整用药方案,血压控制稳定后转回社区.研究表明,通过转诊前双方医生的信息互通,接诊医生服务热情耐心,与患者的交流多一些,使患者感觉与自己挂号就诊有明显的不同,增加了转诊依从性;制定治疗方案时应尽量选择社区医院可以配给到的药物;上级医院如给予转诊患者更多的便利,双向转诊将能持续并不断完善.
2008년2월지7월,선택수요전진적26례고혈압환자,기중혈압공제불가20례(77%),3례위신발고혈압,3례위계발성고혈압.평균수방일22 d(10～35 d).유사구적전과의생장환자적기본정황예선고지상급의원접진의생,안배시간취진,경과검사명학진단혹조정용약방안,혈압공제은정후전회사구.연구표명,통과전진전쌍방의생적신식호통,접진의생복무열정내심,여환자적교류다일사,사환자감각여자기괘호취진유명현적불동,증가료전진의종성;제정치료방안시응진량선택사구의원가이배급도적약물;상급의원여급여전진환자경다적편리,쌍향전진장능지속병불단완선.
The trial of two-way referral enrolled 26 patients with hypertension, including 20 cases of refractory hypertension, 3 new cases and 3 cases of secondary hypertension, the average length of follow-up was 22 d (10-35 d). The family physicians in Huaihaizhong Road Community Health Service Center communicated with specialists in the medical center (Ruijin hospital), appointments were made and medical information and other materials were sent in advance. When investigations and adjustment of medication were made, and the blood pressure was under control, patients were referred back to the community. This two-way referral system promoted the information exchanges between two side, doctors got prior knowledge about patients' condition and would spend more time with the patients; and patients' feeling of satisfaction and compliance of the treatment were increased. From our experiences, we suggest that the therapeutic regime made by the medical center should be feasible to the community, and more convenience should be given to the referred patients, so that the effectiveness and efficiency of the two-way referral can be further improved.