天津市医务人员双向转诊认知度调查分析  

Awareness of the two-way referral among medical staff in Tianjin city

作　　者：孙俐[1] 王杰[1] 熊英 闫贵明[1] 王岚[1] 卢琦[1] 曹晓娜[1] 姜男[1] 王耀刚[1] 

机构地区：[1]天津医科大学,天津300070 [2]天津市王顶堤医院,天津300019

出　　处：《中国农村卫生事业管理》2016年第1期33-36,共4页Chinese Rural Health Service Administration

基　　金：天津医科大学护理学院科研基金项目"医改背景下医患双方对双向转诊制度的认知现状调查"(编号:201302)

摘　　要：目的:探讨天津市上下级医疗机构医务人员对双向转诊认知度的现状和差异。方法:对天津市12个双向转诊实施单位中的218名医务人员进行问卷调查。结果:上下级医疗机构医务人员在双向转诊了解程度、实施双向转诊意愿、对双向转诊的支持程度、双向转诊必要性、可行性及实施效果评价上的差异均有统计学意义(P<0.05);多数医务人员对双向转诊形式、转诊决定权以及转诊指征不清楚,但转诊意愿和支持程度较高。结论:通过加强对双向转诊具体实施者的相关知识与政策培训,完善上下级医疗机构双向转诊的监管和激励机制,使双向转诊与医保相结合等途径进一步促进双向转诊的实施。Objective To investigate the current status of the awareness of the two--way referral among physicians in Tianjin city and to explore the differences. Methods A total of 218 physicians from 12 hospitals in Tianjin city were sur- veyed with self--designed questionnaire. Results There were significant differences in the physicians understanding of the two--way referral, implementation willingness, support degree, necessity, feasibility, and evaluation on the imple- mentation effect（P^0.05）~the majority of physicians were not clear about the forms of the two--way referral, the right to make decision,and referral indications ~ most physicians had a high level of implementation willingness and sup- port degree. Conclusions We should strengthen the training about related knowledge and polices of the two--way refer- ral, improve its supervision and incentive mechanism in hospitals, and combine it with the medical insurance to promote the implementation of two--way referral.

关 键 词：双向转诊 认知度 对比研究 

分 类 号：R197.3[医药卫生—卫生事业管理]