社区眼病分级诊疗与双向转诊模式探索  

Hierarchical system and two-way referral model for eye diseases management in community health service center

作　　者：朱敏[1] 童晓维 张怡[1] 张勰义[1] 戴慧敏[1] 刘洁[1] 成园 杜兆辉 

机构地区：[1]上海市浦东新区潍坊社区卫生服务中心,200122 [2]上海市眼科医院,200041

出　　处：《中华全科医师杂志》2018年第1期10-13,共4页Chinese Journal of General Practitioners

基　　金：上海市浦东新区卫生系统优秀青年医学人才培养（PWRq2015-37）;浦东新区科技发展基金项目（PKJ2015-Y62）;上海市申康医院发展中心项目（SHDC2014634）

摘　　要：为探索适合社区卫生服务中心与二三级医院眼病的分级诊疗、双向转诊模式，上海市浦东新区潍坊社区卫生服务中心试点“点对点”眼病防治模式，即中心健康管理家园与眼科医院医务科直接负责筛查对象的双向转诊，眼科医院专家定期在中心开设专病门诊对筛查对象进行纵向连续性管理。“点对点”双向转诊模式在加强基层与上级医院的互动合作、提高基层全科医生执业技能、增强上级医院分级诊疗的功能性、提升本社区居民满意度等方面发挥了积极的作用，为日后全面完善、细化分级诊疗、双向转诊制度提供参考和借鉴。A two-way referral system for eye diseases management was developed between the Weifang community health service centers and Shanghai eye hospital in May 2014. With the ＂peer-to-peer＂ two-way referral model, the physicians in community health service center and ophthalmologists in eye hospital were directly responsible for screening, diagnosis and treatment of patients. The specialists of eye hospital also regularly provided clinic service in the center for longitudinal management of the patients. The ＂peer-to-peer＂ two-way referral model played a positive role in enhancing the cooperation between community health service center and superior hospital, upgrading skills of general practitioners, and improving the residents＇ satisfaction.

关 键 词：社区卫生服务 分级诊疗 双向转诊 

分 类 号：R197.61[医药卫生—卫生事业管理] R77[医药卫生—公共卫生与预防医学]