摘要
目的探讨改进后的日间手术医院-社区一体化双向转诊服务模式的应用效果。方法四川大学华西医院日间手术中心于2014年5月开始构建日间手术患者医院-社区一体化服务模式,应用于成都市成华区、武侯区、锦江区社区卫生服务网络机构。2017年3月对该模式进行一系列改进,包括专人负责转诊、开展社区巡讲、邀请医院专家联合社区义诊等。回顾分析并对比改进前(2016年3月)与改进后(2017年3月)同期社区下转患者接收率、社区患者满意度以及改进前(2016年3月—6月)与改进后(2017年3月—6月)向上转诊量。结果社区转诊接收率从2016年3月的81.3%上升至2017年3月的99.1%,社区患者术后满意度调查从2016年3月的95.4%提高到2017年3月的100.0%,改进前后差异有统计学意义(P<0.05)。社区向上转诊患者数量由2016年3月—6月的0人上升至2017年3月—6月的23人。结论改进后的日间手术医院-社区一体化医疗服务模式优化了日间手术预约流程,不仅给患者带来了方便,还有效地调节了有限医疗资源的合理配置,推动了国家分级诊疗制度的落实。
Objective To discuss the running effect of the modified hospital-community integrated two-wayreferral service mode in day surgery. Methods The hospital-community integrated two-way-referral service mode in day surgery was built in May 2014 by our center, and applied in the communities＇ health service network in Chenghua District, Wuhou District, and Jinjiang District. From March 2017 some improvements of the mode were made, such as assigning specific person for the management of two-way-referral, conducting lectures in communities to train the community medical staff, and carrying out gratuitous treatment. The community acceptance rate and patients satisfaction were retrospectively analyzed between March of 2016 and March of 2017, and the number of upward referral（from community to hospital） was retrospectively analyzed between March to June of 2016 and March to June of 2017. Results The community acceptance rate was elevated from 81.3% to 99.1% and the patients satisfaction was improved from 95.4%to 100.0%, and the differences between the two periods were statistically significant（P0.05）. The number of upward referral increased from 0 to 23. Conclusions The modified hospital-community integrated service mode could optimize the course of surgery appointment, and make it convenient for patients. Furthermore, it also adjusts the reasonable allocation of medical resource effectively and promotes the implementation of national hierarchical medical system.
出处
《华西医学》
CAS
2017年第11期1689-1692,共4页
West China Medical Journal
基金
四川省卫生和计划生育委员会科研课题(16PJ286)
关键词
日间手术
医院-社区一体化服务
双向转诊
运行效果
Day surgery
Hospital-community integrated service
Two-way referral
Running effect
作者简介
通信作者：马洪升，Email：mahongsheng63@163．com
