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康复分级服务评定工具和路径的编制与使用规范

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分级诊疗作为我国深化医药卫生体制改革的核心内容,被视为改善医疗资源分配不均,最大程度合理优化医疗资源配置的重要举措,国家多次出台相关政策推动其向纵深发展.目前,分级诊疗的重要性和必要性已经在康复医学领域取得广泛共识,然而在临床实践中难以落地.本研究团队针对各级康复医疗机构医务人员关于患者收治范畴和双向转诊理解存在明显差异的问题,通过查阅文献、专家调查、多中心研究,结合多年临床工作经验编制了"康复分级服务评定工具和路径".前期研究证明,该"工具和路径"使用便捷、可操作性强,有利于患者合理分流,促进分级诊疗的临床实施.基于此,本文对"康复分级服务评定工具和路径"的编制流程与使用规范进行详细说明,旨在为临床医务人员的使用提供指导和依据.
Development and Application Standards of the Tiered Services Tool and Pathway for Rehabilitation Medicine
Tiered diagnosis and treatment system(TDTS),as the core content of deepening the reform of medical and health system in China,has been recognized as a crucial strategy to optimize the uneven distribution of medical resources and facilitate the allocation of medical resources,therefore relevant policies have been repeatedly introduced to promote its in-depth development.At present,the importance and necessity of tiered diagnosis and treatment has reached a wide consensus in the field of rehabilitation medicine,however,its implementation in clinical practice is not optimistic.Our research team addressed the issue of the significant discrepancies among medical staff at various levels of rehabilitation institutions concerning patient admission and referrals.We have developed the"Tiered Services Tool and Pathway for Rehabilitation Medicine(TSTP-RM)"through literature review,expert sur-vey,multicenter study,and years of clinical experience.In the preliminary research,it has shown that the developed TSTP-RM is user-friendly and conducive to reasonable triage of patients,which promotes the clinical implementation of tiered diagnosis and treatment.In this article,we provided detailed instructions for the development and application of TSTP-RM to facilitate its imple-mentation in clinical practice.

rehabilitation medicinetiered services toolreferral pathwayclinical practice standard

高焱、叶睿雪、薛凯文、张泽宇、王玉龙

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深圳市第二人民医院(深圳大学第一附属医院),广东 深圳 518025

康复医学 分级服务评定工具 转诊路径 临床规范

2024

康复学报
福建中医药大学

康复学报

CSTPCD
影响因子:0.545
ISSN:2096-0328
年,卷(期):2024.34(5)