中山市三乡镇社区居民双向转诊服务影响因素分析  

The Influencing Factors of Satisfaction on the Two-way Referral Service among Residents in the Town of Sanxiang in the City of Zhongshan

作　　者：周少维 余雪强 黄翔[2,3] 赖秀娟[2,3] 张冬莹[3] 杨华杰[4] 朱敏渊 周志衡[3] 

机构地区：[1]广东省中山市三乡医院,广东中山528463 [2]广东省中山市三乡镇社区卫生服务中心 [3]广州医科大学 [4]华中科技大学同济医学院

出　　处：《中国医学创新》2014年第9期106-108,共3页Medical Innovation of China

基　　金：中山市科技计划项目(20122A028;20122A008);广东省医学科研基金(B2013092);中山市医学科研基金(J2012177;2013A020303)

摘　　要：目的:研究和分析中山市三乡镇实行双向转诊服务现状及其影响因素。方法:采用分层抽样法,抽取中山市三乡镇6间社区卫生服务站内就诊的居民进行匿名问卷调查。结果:高达90.2%的居民选择社区卫生服务机构作为首诊机构;居民双向转诊知晓率较低,高达76.9%的居民"没听说过"双向转诊制度;84.9%的居民不知道本地区社区卫生服务机构已与上级医院(二级及以上医院)间建立了双向转诊制度,但同时64.5%的居民赞成实行双向转诊制度,分别有69.2%和42.3%的居民对目前社区卫生服务机构实行的双向转诊制度和双向转诊流程感到满意。居民的年龄、职业、月收入、医疗费用支付方式和首诊机构选择是影响双向转诊服务满意的主要因素。结论:中山市三乡镇社区卫生服务机构与上级医院之间的双向转诊服务还有待进一步优化和完善,应加强其宣传力度。Objective：To study the current two-way referral service and its influential factors in Sanxiang of Zhongshan.Method：Six community health service（CHS）stations in Sanxiang of Zhongshan were selected with a cluster random sampling methodology,and residents who got access to CHS facilities were interviewed through anonymous questionnaire to collect data information.Result：Up to 90.2%of the residents chosen CHS as their first contact care agencies;and the awareness of two-way referral service for residents was significantly low,up to 76.9%of the residents＆quot;never heard＆quot;the two-way referral services,and 84.9%of residents did not know there already existed the two-way referral services between CHS and higher hospital（secondary and higher hospital）. However,64.5% of residents in favor of a two-way referral services,and of 69.2%and 42.3%residents were satisfied with the current two-way referral system and its process of CHS facilities,respectively. Age,occupation,monthly income,medical expenses and the first contact care were major factors influencing the satisfaction of the two-way referral services.Conclusion：The two-way referral service between CHS facilities and higher glasses hospital in Sanxiang of Zhongshan should be further optimized and improved,and also for their advocacies.

关 键 词：双向转诊 居民 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]