快速流程理念下区域化网络卫生服务模式现状及需求的量性-质性研究  

The quantitativequalitative research of the conditions and needs of the regional network of health service system in the fast track

作　　者：黄明君[1] 李智[2] 高洁[2] 武佐威 冯尘尘[2] 李卡[1] 

机构地区：[1]四川大学华西医院胃肠外科中心,成都610041 [2]四川大学华西护理学院 [3]四川大学华西临床医学院

出　　处：《中国实用护理杂志》2013年第1期18-22,共5页Chinese Journal of Practical Nursing

基　　金：四川省科技厅支撑项目（2012SZ0039）

摘　　要：目的探索建立适合本地区外科手术患者的连贯式卫生服务体系以优化医疗资源。方法采用量性一质性研究方法调查三甲医院与其区域协同医院的区域化网络卫生服务现状和需求，主要涉及双向转诊绿色通道、出院后随访、远程会诊、远程网络培训现状、需求及对实施区域化网络服务障碍的认识。结果参加研究的医护人员表示，双向转诊的“下转上”实现难，且远程会诊和培训设施存在资金障碍，远程培训效果也具有不确定性。结论三甲医院与其区域协同医院的区域化网络卫生服务还较薄弱，需加大力度发展区域化网络服务。Objective To explore the establishment of the coherent health service system for pa tients undergoing surgery in this region to optimize health care resources. Methods Using the Quantita tivequalitative research to investigate the conditions and needs of the regional network of health service be tween the thirdgrade classA hospital and its collaborative hospitals, and it is about twoway referral, the follow ups after discharge, remote consultation, the conditions and needs of the remote training and the knowledge to the obstacles of carrying out the regional network service. Results The doctors and nurs es in the research said, it was difficult to achieve the up referral in two way referral, and there was fi nancing obstacles for remote consultation and training, furthermore, the effeets of the remote training was uncertain. Conclusions The regional network of health service between the thirdgrade classA hospital and its collaborative hospitals is still weak, and we need to intensify the development of the regional net work service.

关 键 词：快速流程 区域化网络 卫生服务模式 量性-质性研究 

分 类 号：R197.1[医药卫生—卫生事业管理]