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上海市某区医联体建设下分级诊疗现状及研究

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目的 了解医联体建设背景下分级诊疗的现状及医生对分级诊疗的认知,为制度完善提供建议.方法 采取分层随机抽样方法,抽取医联体范围内不同医院的居民及医生进行问卷调查.结果 青浦区分级诊疗制度还不完善,部分居民社区首诊率较低.89.54%的医生了解分级诊疗及双向转诊的制度、标准、流程,仅有57.52%的医生对目前的分级诊疗和双向转诊现状满意.94.77%的医生认为有必要建立统一的双向转诊平台.结论 青浦区分级诊疗及双向转诊工作还有不足,需要进一步加强对医务人员的培训,提高社区卫生服务能力,建立统一的双向转诊平台,推进分级诊疗建设.
Current Situation and Research on Hierarchical Diagnosis and Treatment under the Construction of a Medical Alliance in a Certain District of Shanghai
Objective:In order to understand the status quo of hierarchical diagnosis and treatment,and doctors'cognition of hierarchical diagnosis and treatment under the background of the construction of medical alliance,and provide suggestions for the improvement of the system.Method:The stratified random sampling method was adopted to collect residents and doctors from different hospitals within the scope of medical alliance for questionnaire survey.Result:The hierarchical diagnosis and treatment system in Qingpu District is not yet perfect,and the first diagnosis rate in some residential communities is relatively low.89.54%of doctors are familiar with the system,standards,and procedures of hierarchical diagnosis and treatment,and the two-way referral,while only 57.52%of doctors were satisfied with the current status of hierarchical diagnosis and treatment,and the two-way referral.94.77%of doctors believe it is necessary to establish a unified two-way referral platform.Conclusion:There are still deficiencies in the hierarchical diagnosis and treatment,and the two-way referral in Qingpu District so it is necessary to further strengthen the training of medical staff,improve the ability of community health service,establish a unified two-way referral platform,and promote the construction of hierarchical diagnosis and treatment.

medical alliancehierarchical diagnosis and treatmentcountermeasure study

高中、项丽虹、黄瑛

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上海市青浦区白鹤镇社区卫生服务中心,上海市 201709

医联体 分级诊疗 对策研究

2024

现代医院管理
中国医院协会,中国医科大学

现代医院管理

影响因子:1.07
ISSN:1672-4232
年,卷(期):2024.22(5)