摘要
目的:了解松散型医联体中不同类型医疗机构的需求差异性,制定相应策略满足医联体健康发展的需要。方法:采用自制问卷量表对2016年8月至2017年12月期间在医联体机构就诊的患者进行调查。结果:不同级别医疗机构的患者在首诊制度的认可程度(χ2=33.06,P<0.001)、双向转诊的认可程度(χ2=4.258,P=0.039)、是否参加医联体(χ2=7.594,P=0.006)等方面差异具有统计学意义。而在分级诊疗认知度、信息系统建设需要、就诊满意程度方面差异不具有统计学意义(P>0.05)。结论:医疗机构的医疗技术影响患者对首诊制度的认可、转诊的意愿,基层医疗机构应该加强自身医疗水平的提高、宣传教育,上级医院需要对患者进行医联体相关知识的宣传,加大对患者的分级诊疗宣传,增加便民的信息系统建设。
Objective： To know the differences in the needs of different types of medical institutions in loose type associations ofmedical institutions in order to develop strategies to meet the needs for a healthy development of associations of medical institutions.Methods： The patients who once visited medical institutions from August 2016 to December 2017 were surveyed with the self-madequestionnaires. Results： It was statistically significant in patients＇ recognation of the initial treatment system in different medicalinstitutions（χ^2=33.06,P〈0.001）, their recognition of two-way referral（χ^2=4.258,P=0.039）and participation in the medicalassociations（χ^2=7.594,P=0.006）, etc. However, there were no statistically significances in the awareness of clinical levels, the needs ofinformation system development and medical satisfaction. Conclusion： Medical technology in medical institutions affects how muchpatients can know about the recognition of the first consultation system and their intentions of hospital referrals. Thus, the grass-rootmedical institutions should improve their medical standards and strengthen propaganda and education, while the higher-lever hospitalsshould strengthen publicity for knowledge of association of medical institutions and hierarchical diagnosis and treatment to patients,and speed up the construction of information system.
作者
周贵
罗江磋
舒海燕
苏超敏
刘佳
王慧玲
Zhou Gui;Luo Jiangcuo;Shu Haiyan;Su Chaomin;Liu Jia;Wang Huiling(The Fifth People＇s Hospital of Chengdu,Chengdu 611130,China;Anhong Health Center of Songpan County,Aba,Sichuan 624000,China)
出处
《大理大学学报》
CAS
2018年第8期76-79,共4页
Journal of Dali University
基金
2016年度四川省基层卫生事业发展研究中心资助项目(SWFZ16-Y-12)
关键词
分级诊疗
医联体
需求
应对
hierarchical diagnosis and treatment
association of medical institutions
needs
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