CAJ | 학술논문

目的探索建立适合本地区外科手术患者的连贯式卫生服务体系以优化医疗资源.方法采用量性-质性研究方法调查三甲医院与其区域协同医院的区域化网络卫生服务现状和需求,主要涉及双向转诊绿色通道、出院后随访、远程会诊、远程网络培训现状、需求及对实施区域化网络服务障碍的认识.结果参加研究的医护人员表示,双向转诊的“下转上”实现难,且远程会诊和培训设施存在资金障碍,远程培训效果也具有不确定性.结论三甲医院与其区域协同医院的区域化网络卫生服务还较薄弱,需加大力度发展区域化网络服务.
목적 탐색건립괄합본지구외과수술환자적련관식위생복무체계이우화의료자원.방법 채용량성-질성연구방법조사삼갑의원여기구역협동의원적구역화망락위생복무현상화수구,주요섭급쌍향전진록색통도、출원후수방、원정회진、원정망락배훈현상、수구급대실시구역화망락복무장애적인식.결과 삼가연구적의호인원표시,쌍향전진적“하전상”실현난,차원정회진화배훈설시존재자금장애,원정배훈효과야구유불학정성.결론 삼갑의원여기구역협동의원적구역화망락위생복무환교박약,수가대력도발전구역화망락복무.
Objective To explore the establishment of the coherent health service system for patients undergoing surgery in this region to optimize health care resources.Methods Using the Quantitative-qualitative research to investigate the conditions and needs of the regional network of health service between the third-grade class-A hospital and its collaborative hospitals,and it is about two-way referral,the follow ups after discharge,remote consultation,the conditions and needs of the remote training and the knowledge to the obstacles of carrying out the regional network service.Results The doctors and nurses in the research said,it was difficult to achieve the up referral in two-way referral,and there was financing obstacles for remote consultation and training,furthermore,the effects of the remote training was uncertain.Conclusions The regional network of health service between the third-grade class-A hospital and its collaborative hospitals is still weak,and we need to intensify the development of the regional network service.