CAJ | 학술논문

目的：实施分级医疗制度，探索分级医疗制度对大型综合性医院门诊护理工作的新要求，拓展和提升门诊护理服务内涵。方法对分级医疗制度实施前、后门诊患者问询类别的变化以及护士对分级诊疗制度的认知情况进行调查与分析。结果护士对分级医疗制度的实施认知率低，分级医疗制度实施前、后门诊患者问询类别中，挂号咨询、医生信息咨询、报告单的解读、入院及转院咨询、医疗政策咨询的比例明显升高（P＜0．05），差异有统计学意义。结论根据分级医疗制度的新要求，应不断拓展、提升门诊护理内涵建设，探索新的门诊护理服务内容和模式。
목적：실시분급의료제도，탐색분급의료제도대대형종합성의원문진호리공작적신요구，탁전화제승문진호리복무내함。방법대분급의료제도실시전、후문진환자문순유별적변화이급호사대분급진료제도적인지정황진행조사여분석。결과호사대분급의료제도적실시인지솔저，분급의료제도실시전、후문진환자문순유별중，괘호자순、의생신식자순、보고단적해독、입원급전원자순、의료정책자순적비례명현승고（P＜0．05），차이유통계학의의。결론근거분급의료제도적신요구，응불단탁전、제승문진호리내함건설，탐색신적문진호리복무내용화모식。
Objective To Study the new requirements of outpatient nursing in general hospital under sub‐levels medical system ,and to strengthen the connotation construction of outpatient nursing service .Method By means of questionnaire ,the changes of outpatient information categories and the cognition and the cognition of nurse to sub‐levels medical system before and after the new medical system were investigated and analyzed .Result The cognition rate of nurse to sub‐levels medical system was low ,and among the outpatient information categories ,the rate of reg‐istration consulting ,doctors information consulting ,medical reports consulting ,admission and transfer consulting and healthcare policy consulting increased significantly after the new medical system (P<0 .05) .Conclusion Accord‐ing to the new requirements of sub‐levels medical system ,the connotation construction of outpatient nursing service should be strengthened and a new mode should be explored to improve the quality of outpatient nursing service .