Objective:To explore the application effect of process reengineering in two-way referral of urban medical groups.Methods:A retrospective analysis was conducted on the data of bidirectional referrals conducted in Ganzhou Hospital of Guangdong Provincial People's Hospital from January 2021 to December 2022.According to different referral methods,they were divided into a control group(bidirectional referrals were conducted according to traditional methods)and an observation group(bidirectional referrals were operated after homogenization management according to the process reengineering bidirectional referral management model).The number of two-way referrals between two groups,the reasonableness of referrals,the time of patients'initial contact from a lower level hospital to receiving specialized treatment from the general hospital,medical expenses,and the satisfaction of medical staff with two-way referrals were compared.Results:The rationality of bidirectional referral in the observation group was 97.06%(66/68),which was higher than 88.24%(60/68)in the control group,with statistically significant difference(χ2=3.886,P＜0.05).The observation group had shorter time from initial contact with lower level hospitals to receiving specialized treatment at the general hospital compared to the control group,and the medical expenses were lower than the control group,with statistically significant difference(t=22.969,162.369;P＜0.05).The satisfaction of the observation group's medical staff with the two-way referral process,the speed of the referral vehicle,the attitude of the full-time referral personnel,the technical skills of the full-time referral personnel,the connection between the specialized doctors of the general hospital and the first visit doctors,the specialized treatment situation of the lower level referral doctors to the general hospital,rewards and punishments to the general hospital,team spirit,the importance of the general hospital on two-way referral,and the operation score of the regional two-way referral management mode were all higher than the control group,with statistically significant difference(t=12.101,11.802,15.035,15.530,13.407,12.409,30.172,11.354,12.018,10.445;P＜0.05).Conclusion:Adopting process reengineering in the two-way referral of urban medical groups can improve the rationality of referral,effectively shorten patient treatment time,reduce medical expenses,and make medical staff more satisfied with the two-way referral method,which has clinical application value.
Urban medical groupBilateral referralProcess reengineeringReasonability of referralMedical expensesSatisfaction
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