北京市三里河一区卫生站外院带药转入情况分析  

Analysis on Taking Medicine from Outer Court in Beijing Sanlihe Area Health Station

作　　者：王会兰[1] 亓海萍[1] 王丽[1] 

机构地区：[1]首都医科大学附属复兴医院,北京市100045

出　　处：《中国全科医学》2013年第36期4322-4324,共3页Chinese General Practice

摘　　要：目的分析北京市三里河一区卫生站的外院带药转入情况,为社区卫生服务机构接诊外院带药患者提供经验。方法运用典型调查方法,对2012-06-01—2013-05-31三里河一区卫生站的外院带药治疗的患者690例进行分析,记录转入医院、转入诊断、转入用药,采用多因素Logistic回归分析影响患者外院带药满意度的因素。结果转入医院为复兴医院374例(54.20%)、北京大学第一医院86例(12.46%)、北京大学人民医院62例(8.99%)、宣武医院57例(8.26%)、其他医院111例(16.09%)。转入诊断为神经系统疾病(神经痛)187例(27.10%)、循环系统疾病(心脑血管)130例(18.84%)、呼吸系统疾病95例(13.77%)、代谢系统疾病(骨质疏松)78例(11.30%)、消化系统疾病18例(2.61%)、其他182例(26.38%)。转入用药为腺苷钴胺187例(27.10%)、抗生素172例(24.93%)、中药(活血化瘀)130例(18.84%)、降钙素78例(11.30%)、其他用药123例(17.83%)。多因素Logistic回归分析结果显示,接诊态度、治疗水平、治疗环境是影响患者外院带药满意度的因素。结论外院带药以神经系统疾病、循环系统疾病居多,药物以维生素、抗生素、中药(活血化瘀)为主。应规范社区卫生服务机构医务人员对转入患者的接诊态度、提高其治疗水平,为患者提供更加便捷、优质的服务。Objective To analyze the condition of taking medicine from outer court in Beijing Sanlihe Area Health Sta- tion in order to provide evidence for community health service station accepting patients taking medicine from outer court. Methods The condition of taking medicine from outer court in Beijing Sanlihe Area Health Station from June 1, 2012 to May 31, 2013 was analyzed by using the method of typical investigation. The hospital, diagnosis and medicine on transfer were recorded and Lo- gistic regression analysis was adopted to analyze the influencing factors for the satisfactory level of taking medicine from outer court. Results The hospitals before transfer were Fuxing Hospital （374 cases, 54. 20% ）, Peking University First Hospital （86 cases, 12.46% ）, Peking University People＇s Hospital （62 cases, 8.99% ）, Xuanwu Hospital （57 cases, 8.26% ） and other hospitals （ 111 cases, 16.09% ） . The diagnoses before transfer were neurological disease （ 187 cases, 27. 10% ）, circulatory system disease （130 cases, 18.84%）, respiratory system disease （95 cases, 13.77%）, metabolic system disease （78 ca- ses, 11.30% ） , digestive system disease （ 18 cases, 2. 61% ） and other diagnoses （ 182 cases, 26.38% ） . The medicines used before transfer were cobamamide （187 cases, 27. 10% ）, antibiotics （172 cases, 24. 93% ）, TCM （130 cases, 18.84% ） , calcitonin （78 cases, 11.30% ） and other medicines （ 123 cases, 17.83% ） . Multivariate Logistic regression a- nalysis showed that attitude, treatment expertise and treatment environment were the factors influencing the satisfactory level of taking medicine from outer court. Conclusion Patients taking medicine from outer court are mainly with neurological system dis- ease and circulatory system disease, and the patients were mainly using Vitamins, antibiotics and TCM. The attitude and treat- ment expertise should be improved among the community medical staff to provide more convenient and higher quality service for the pat

关 键 词：社区卫生中心 病人转诊 

分 类 号：R197.62[医药卫生—卫生事业管理]