城市社区2型糖尿病双向转诊路径应用的评价研究  

Evaluation on the Application of Clinical Two-way Referral Pathway for Type 2 Diabetes Mellitus in Urban Community

作　　者：刘民[1] 曹红霞[2] 梁万年[2] 路孝琴[2] 彭小霞[2] 杜雪平[3] 周海虹[3] 庄晓明[3] 方洁如[3] 戴秋颖[3] 李雅媛[3] 王海燕[3] 李燕娜[3] 乌正赉[4] 

机构地区：[1]北京大学医学部,100000 [2]首都医科大学 [3]首都医科大学附属复兴医院 [4]中国协和医科大学基础医学院

出　　处：《中国全科医学》2005年第5期347-349,共3页Chinese General Practice

摘　　要：目的　评价所建立的适合我国城市社区人群的 2型糖尿病双向转诊路径的效果、效益、可行性和可推广性。方法　采用非随机同期对照试验和个人深入访谈, 对所建立的双向转诊路径进行评价。结果　实施 2型糖尿病双向转诊机制有利于缩短患者的就诊时间、减少不必要的服务项目、节约医疗费用、提高治疗效果并使服务具有连续性。结论　2型糖尿病双向转诊路径作为一个疾病管理模式具有一定的成本效益。Objective The aim of this study was to evaluate the effectiveness, benefit, feasibility and extrapolability of the clinical two-way referral pathway developed in urban community for patients with type 2 diabetes mellitus.Methods The clinical two-way referral pathway developed in urban community was evaluated by non-random concurrent controlled trial and individual depth interview.Results The clinical two-way referral pathway for type 2 diabetes mellitus was useful to shorten the delayed admission time, to reduce the redundant medical service, to decrease the medical cost, to improve the treatment effect and to keep the continuity of the service.Conclusion The clinical two-way referral pathway for patients with type 2 diabetes mellitus may be a cost-benefit model for disease management.

关 键 词：双向转诊机制 2型糖尿病 评价研究 深入访谈 就诊时间 疾病管理 患者 结论 模式 中国 

分 类 号：R197[医药卫生—卫生事业管理] R587.1[医药卫生—公共卫生与预防医学]