地市级公立医院眼科分级诊疗实施现状及分析  

Implementation situation and analysis of ophthalmology hierarchical diagnosis and treatment in municipal public hospitals

作　　者：李桂蓉[1] 夏敏[1] 严欣[1] 

机构地区：[1]四川省绵阳市中心医院眼科,621000

出　　处：《中华现代护理杂志》2016年第6期850-853,共4页Chinese Journal of Modern Nursing

摘　　要：目的：运用SWOT分析法分析地市级公立医疗机构眼科在实施分级诊疗后面临的优势、劣势、机遇和威胁，为拟定对策提供依据。方法对比分析分级诊疗实施前后某市3家公立三级医疗机构眼科的门诊人次、出院人次、病种结构，统计分析2014年10—12月该3家医院的双向转诊率；深度访谈医护人员20人，运用SWOT分析法讨论三级医疗机构眼科具备的优势和机遇、面临的劣势和威胁。结果2014年10—12月3家医院眼科门诊人次48031人次，较2013年同期下降7.22%；出院1732人次，较2013年同期上升3.16%；437例患者需开具转诊单，实际31例患者开具当地转诊单，上转率7.09%，回转率为零。结论地市级医疗机构眼科虽具备技术、设备、综合实力等优势，但面临政策支持差、政府投入低、民营资本大量注入等劣势和挑战。要高度重视卫计委关于分级诊疗、双向转诊的政策实施，针对SWOT分析结果拟定相应的对策。Objective To provide the basis for drawing up countermeasures, use the SWOT method to analyze the strengths, weaknesses, opportunities and threats of ophthalmology in municipal public hospitals faced after the implementation of hierarchical diagnosis and treatment. Methods Numbers of outpatients, discharged patients, disease category, and two-way referral rate were analyzed contrastively in three departments of ophthalmology in municipal public hospitals before and after the implementation of hierarchical diagnosis and treatment from October to December in 2014;20 medical workers were depth interviewed. SWOT method was applied to analyze the strengths, weaknesses, opportunities and threats of ophthalmology in municipal public hospitals. Results From October to December in 2014, numbers outpatients in three municipal public hospitals was 48 031, reduced by 7. 22% from a year earlier. Numbers of discharged patients was 1 732, increased by 3. 16% from a year earlier. 437 patients needed referral forms but only 31 got ones. Up-referral rate was 7. 09%, comparing referral back rate was 0. Conclusions Although Ophthalmology Departments in municipal public hospitals have the advantages of technology, equipment, and comprehensive strength, they face weaknesses and challenges like loss policy support, low government investment, and too much private capital injection. Great importance should be put to the policy established by National Health and Family Planning Commission of the PRC on hierarchical diagnosis and treatment and the implementation of two-way referral. According to SWOT analysis, corresponding countermeasures should be formulated.

关 键 词：眼科学 患者分级诊疗 双向转诊 SWOT分析 

分 类 号：R197.32[医药卫生—卫生事业管理]