摘要
目的:了解广州市慢性病患者双向转诊下转的意愿及影响因素。方法:采用多阶段抽样及方便抽样的方式抽取广州市582名慢性病患者进行问卷调查。结果:84.36%的患者没有下转经历;53.44%的患者表示没有听说过双向转诊政策;43.47%的患者表示在病情缓解或处于恢复期时愿意向社区卫生服务机构转诊。在排除其他影响因素后,对双向转诊政策的了解程度、签约家庭医生情况以及首诊医院的选择3个因素对慢性病患者的下转意愿有显著影响(P<0.05)。结论:广州市慢性病患者向下转诊率及下转意愿均较低,应从政策宣传、转诊标准与流程的完善、转诊信息化建设、机构建设以及家庭医生签约服务等方面推进双向转诊制度的实施。
Objective:To understand the willingness and influencing factors of two-way referral for patients with chronic diseases.Methods:A total of 582 patients with chronic diseases in Guangzhou were selected by multi-stage sampling and convenient sampling for questionnaire survey.Results:84.36% of patients had no experience of referral down.53.44% of patients had not heard of the two-way referral policy.43.47% of patients indicated that they were willing to refer to community health services when the disease was relieved or during recovery.After excluding other influencing factors,the degree of understanding of the two-way referral policy,the status of contracted family doctors and the choice of the first hospital have a significant impact on the referral willingness of patients with chronic diseases(P<0.05).Conclusion:The willingness of patients with chronic diseases in Guangzhou to refer to community hospitals is low.Two-way referrals should be strengthened from policy advocacy,referral standards and process improvement,information constructing,institution building,and family doctor contracting services.
作者
周润明
崔方圆
姚卫光
Zhou Runming(School of Health Services Management,Southern Medical University,Guangzhou,510515)
出处
《医学与社会》
北大核心
2019年第5期26-30,共5页
Medicine and Society
基金
广东省高校哲学社会科学重点实验室"公共卫生政策研究与评价"资助项目
编号为2015WSYS0010
广州市公共卫生服务体系建设重点研究基地资助项目
关键词
双向转诊
慢性病
社区卫生服务
意愿
广州
Two-Way Referral
Chronic Disease
Community Health Service
Willingness
Guangzhou
