中国卫生资源
中國衛生資源
중국위생자원
CHINESE HEALTH RESOURCES
2014年
3期
189-191
,共3页
医疗联合体%就诊流程%合理性
醫療聯閤體%就診流程%閤理性
의료연합체%취진류정%합이성
regional medical association%treatment process%reasonability
目的：从服务利用方的角度，对瑞金-卢湾医联体内部就诊流程的合理性进行初步分析和评价，为卫生行政部门提供决策依据。方法：采用方便抽样的方法对门诊患者进行问卷调查和深入访谈，通过情景模拟了解患者对医联体就诊流程中“社区首诊”、“双向转诊”、“绿色通道”和“预约机制”4个关键环节的认知和看法。结果：总共调查306人。86.9%看病首选社区，主要是因为“交通方便”、“一些小病不用到大医院”、“社区医生服务态度好”、“费用便宜”；41.2%认为“向上转诊须由专家审核”的规定不合理，担心增加专家审核会使转诊更加麻烦，病情在此期间可能发生转变；90.1%支持社区康复，认为下转到社区进行康复可以节省费用；96.1%赞同开通绿色通道，但利用情况较差；75.3%接受预约服务。结论：瑞金-卢湾医联体内部就诊流程总体上较为合理，但需（1）提升服务质量，引导居民社区首诊；（2）优化转诊流程，促进服务系统高效运转；（3）采用多种服务手段，满足居民多样化需求。
目的：從服務利用方的角度，對瑞金-盧灣醫聯體內部就診流程的閤理性進行初步分析和評價，為衛生行政部門提供決策依據。方法：採用方便抽樣的方法對門診患者進行問捲調查和深入訪談，通過情景模擬瞭解患者對醫聯體就診流程中“社區首診”、“雙嚮轉診”、“綠色通道”和“預約機製”4箇關鍵環節的認知和看法。結果：總共調查306人。86.9%看病首選社區，主要是因為“交通方便”、“一些小病不用到大醫院”、“社區醫生服務態度好”、“費用便宜”；41.2%認為“嚮上轉診鬚由專傢審覈”的規定不閤理，擔心增加專傢審覈會使轉診更加痳煩，病情在此期間可能髮生轉變；90.1%支持社區康複，認為下轉到社區進行康複可以節省費用；96.1%讚同開通綠色通道，但利用情況較差；75.3%接受預約服務。結論：瑞金-盧灣醫聯體內部就診流程總體上較為閤理，但需（1）提升服務質量，引導居民社區首診；（2）優化轉診流程，促進服務繫統高效運轉；（3）採用多種服務手段，滿足居民多樣化需求。
목적：종복무이용방적각도，대서금-로만의련체내부취진류정적합이성진행초보분석화평개，위위생행정부문제공결책의거。방법：채용방편추양적방법대문진환자진행문권조사화심입방담，통과정경모의료해환자대의련체취진류정중“사구수진”、“쌍향전진”、“록색통도”화“예약궤제”4개관건배절적인지화간법。결과：총공조사306인。86.9%간병수선사구，주요시인위“교통방편”、“일사소병불용도대의원”、“사구의생복무태도호”、“비용편의”；41.2%인위“향상전진수유전가심핵”적규정불합리，담심증가전가심핵회사전진경가마번，병정재차기간가능발생전변；90.1%지지사구강복，인위하전도사구진행강복가이절성비용；96.1%찬동개통록색통도，단이용정황교차；75.3%접수예약복무。결론：서금-로만의련체내부취진류정총체상교위합리，단수（1）제승복무질량，인도거민사구수진；（2）우화전진류정，촉진복무계통고효운전；（3）채용다충복무수단，만족거민다양화수구。
Objective:To analyze and evaluate the reasonability of treatment process of Ruijin-Luwan Medical Association from the point of service utilization,and to provide decision-making support for health administration departments. Methods:This research employed a convenience sampling approach to investigate outpatients with questionnaire and in-depth interviews. Respondents’ cognition and attitude toward“community consultation firstly”,“two-way referral”,“green passage”and“appointment mechanism”were stimulated and analyzed. Results:A total of 306 patients were investigated,86.9%preferred choosing community health service firstly because of the“convenient transportation”,“a common disease with no need to go to larger hospitals”,“the community physician who can provide good service”,as well as“a lower expenditure”. A total of 41.2% of them didn’t think the rule reasonable,which appointed an expert to review the referral application,worrying about cumbersome procedures and the deterioration of disease during the process. Totally 90.1%supported community-based rehabilitation for reducing expenses and 96.1%were in favor of building green passage,but the use of it was inadequate,and 75.3%can accept appointment services. Conclusion:Overall,the internal treatment process of Ruijin-Luwan Medical Association is reasonable to some extent. However,more attention should be paid as follows:(1)improving the quality of service and prompting a change of people’s health concept and behavior;(2)optimizing the referral process and promoting the efficient operation of delivery system;(3)providing different kinds of services to satisfy various needs of residents.
