某三甲医院门诊就诊患者分级诊疗认知分析  

Cognition of hierarchical diagnosis for outpatients in a third-grade class-A hospital

作　　者：孟娜娜[1] 丁宏[1] 章雨晨[1] 

机构地区：[1]安徽医科大学卫生管理学院,安徽合肥230032

出　　处：《中国农村卫生事业管理》2017年第8期917-919,共3页Chinese Rural Health Service Administration

基　　金：国家级大学生创新项目(项目编号:201210366001)

摘　　要：目的:基于对某三甲医院的典型调查,了解门诊就诊患者对分级诊疗的认知和态度。方法:自行设计调查问卷,由4名高年级卫生事业管理专业学生组成调查小组,随机对在该三甲医院心血管内科、风湿免疫科、内分泌科、呼吸内科就诊的门诊患者进行问卷调查,获得有效问卷779份,对资料进行统计描述分析,率的差异性比较采用χ~2检验。结果:(1)患者分级诊疗知晓率为30.8%;年龄、职业、文化程度和医疗保险类型不同,知晓率差异有统计学意义(P<0.05)。(2)基层就医意愿较高,62.3%的患者身体不适时愿意前往基层医疗机构就诊;知晓分级诊疗患者基层就医意愿高于不知晓者。影响患者就医意愿因素中排前三位的是技术、设备和药品。结论:目前患者分级诊疗知晓率不高,宣传力度有待加强,以促进患者对分级诊疗的了解;加强基层医疗机构服务能力建设是推进分级诊疗顺利实施的基础和关键。Objective To know about the patients＇ cognition of and attitude toward hierarchical diagnosis based on a typical investigation of outpatients in a third-grade class-A hospital.Methods The survey was conducted with selfdesigned questionnaire by four high-grade students majoring in health management among outpatients randomly chosen from Department of Cardiovascular Medicine,Department of Rheumatism Immunity,Department of Endocrinology and Department of Respiratory Medicine.A total of 779 valid copies of questionnaire was analyzed by descriptive analysis and chi-square test was adopted to analyze the difference.Results The awareness rate of hierarchical diagnosis was 30.8%.There were statistical differences in awareness among age,occupation,the degree of education and medical insurance type（P〈0.05）.Willingness to seek medical consultation in grassroots institutions was high.62.3% of outpatients were willing to go to the grassroots medical institutions for treatment when they felt unwell.Those who knew hierarchical diagnosis had higher willingness to go to primary medical institutions than those who did not know.The top three factors affecting the patients＇ selection of medical institutions were technical level,medical equipment and pharmaceutical types.Conclusions The patients＇ awareness of hierarchical diagnosis is not high currently,thus the publicity needs to be strengthened to improve outpatients＇ understanding of hierarchical diagnosis.And the strengthening of the service capacity of primary medical institutions is the basis of and key to the successful implementation of hierarchical diagnosis.

关 键 词：门诊就诊患者 分级诊疗 认知 

分 类 号：R197.3[医药卫生—卫生事业管理]