中国医院
中國醫院
중국의원
Chinese Hospitals
2015年
10期
60-61
,共2页
卢艳丽%田志军%章晓君%王元利%张梅%李敏%刘清泉%刘存志%赵因
盧豔麗%田誌軍%章曉君%王元利%張梅%李敏%劉清泉%劉存誌%趙因
로염려%전지군%장효군%왕원리%장매%리민%류청천%류존지%조인
脑梗死%分级诊疗%双向转诊
腦梗死%分級診療%雙嚮轉診
뇌경사%분급진료%쌍향전진
cerebral infarction patient%hierarchical medical system%dual referral
目的:探讨脑梗死患者分级医疗服务体系建设模式,建立三级综合医院与二级综合医院双向转诊新路径,提高双向转诊的有效性、及时性,提高转诊患者满意度.方法:根据诊断、纳入及排筛标准选取60例患者,随机分为研究组和对照组各30例.60例均在北京中医院治疗14天,研究组第15天开始在隆福医院治疗,对照组继续在中医院治疗.隆福医院采用中西医结合康复治疗方法,比较两组治疗效果、费用及转诊中的不良事件.结果:研究组入隆福医院14天与对照组中医院住院28天后NIHSS评分、BI指数比较均无显著差异(P>0.05);研究组转入隆福医院治疗期间总费用及日均费用较对照组于中医院治疗第15天至第28天费用均明显下降(P<0.05);本研究期间,研究组患者转诊过程中均未出现不良事件.结论:脑梗死患者,经过三级医院急性期治疗后转入二级医院安全、可行;二级医院住院费用明显低于三级医院,可以节省患者医疗费用,减轻社会负担;分级诊疗模式有利于促进现有卫生资源的合理配置.
目的:探討腦梗死患者分級醫療服務體繫建設模式,建立三級綜閤醫院與二級綜閤醫院雙嚮轉診新路徑,提高雙嚮轉診的有效性、及時性,提高轉診患者滿意度.方法:根據診斷、納入及排篩標準選取60例患者,隨機分為研究組和對照組各30例.60例均在北京中醫院治療14天,研究組第15天開始在隆福醫院治療,對照組繼續在中醫院治療.隆福醫院採用中西醫結閤康複治療方法,比較兩組治療效果、費用及轉診中的不良事件.結果:研究組入隆福醫院14天與對照組中醫院住院28天後NIHSS評分、BI指數比較均無顯著差異(P>0.05);研究組轉入隆福醫院治療期間總費用及日均費用較對照組于中醫院治療第15天至第28天費用均明顯下降(P<0.05);本研究期間,研究組患者轉診過程中均未齣現不良事件.結論:腦梗死患者,經過三級醫院急性期治療後轉入二級醫院安全、可行;二級醫院住院費用明顯低于三級醫院,可以節省患者醫療費用,減輕社會負擔;分級診療模式有利于促進現有衛生資源的閤理配置.
목적:탐토뇌경사환자분급의료복무체계건설모식,건립삼급종합의원여이급종합의원쌍향전진신로경,제고쌍향전진적유효성、급시성,제고전진환자만의도.방법:근거진단、납입급배사표준선취60례환자,수궤분위연구조화대조조각30례.60례균재북경중의원치료14천,연구조제15천개시재륭복의원치료,대조조계속재중의원치료.륭복의원채용중서의결합강복치료방법,비교량조치료효과、비용급전진중적불량사건.결과:연구조입륭복의원14천여대조조중의원주원28천후NIHSS평분、BI지수비교균무현저차이(P>0.05);연구조전입륭복의원치료기간총비용급일균비용교대조조우중의원치료제15천지제28천비용균명현하강(P<0.05);본연구기간,연구조환자전진과정중균미출현불량사건.결론:뇌경사환자,경과삼급의원급성기치료후전입이급의원안전、가행;이급의원주원비용명현저우삼급의원,가이절성환자의료비용,감경사회부담;분급진료모식유리우촉진현유위생자원적합리배치.
Objectives: To explore hierarchical medical system for cerebral infarction patients and to build a new route of dual referral between tertiary and secondary hospital to increase the effectiveness and timeliness of dual referral and patient satisfaction. Methods: According to diagnosis, inclusion and exclusion criterion, 60 patients were selected and randomly divided into research group and control group each of 30 patients. All 60 patients were treated for 14 days in Beijing Chinese medicine hospital first, then patients of research group began treatment in Beijing Longfu hospital since 15th day. Patients of control group continued to be treated in Chinese medicine hospital, others of research group were given a combination of Chinese and Western medicine treatment in Longfu hospital. Finally comparing the effect, cost and adverse events in referral between two group patients. Results: NIHSS scores ,BI index of research group patients on 14th day in Longfu hospital compared to those of control group on 28th days in Beijing Chinese medicine hospital had no significant difference,(p>0.05). During treatment in Longfu hospital of research group the total and daily expense compared to control group on the same period had an obviously decreased (p<0.05), which was a significant difference. During the research, there was no adverse events of research group patients in the course of referral. Conclusions: Cerebral infarction patients refer to secondary hospital after treatment in acute phase by tertiary hospital are safe and practical. Expense of secondary hospital is noticeable lower than tertiary hospital, which may save patients' cost and lighten social burden. Classified medical care mode will benefit the reasonable deploy of health resources.