分级诊疗中家庭医生对三级医院合作需求调查  

Investigation of family physicians＇ needs for tertiary hospitals support in the hierarchical medical system

作　　者：陈晓怡[1] 朱华[1] 夏俊[1] 俞卓伟[1] 郑松柏[1] Chen Xiaoyi;Zhu Hua;Xia Jun;Yu Zhuowei;Zheng Songbai.(Affiliated Huadong Hospital, Fudan University, Shanghai 200040, Chin)

机构地区：[1]复旦大学附属华东医院双向转诊办公室,上海200040

出　　处：《中华医院管理杂志》2018年第7期536-539,共4页Chinese Journal of Hospital Administration

基　　金：2017年度复旦大学医院管理建设项目（FDYGC20170701）

摘　　要：目的了解分级诊疗制度下，家庭医生对三级医院合作需求情况。方法2017年7月，通过整群抽样135名上海市长宁区家庭医生进行需求问卷调查。问卷内容包括家庭医生的人口学特征及其需求。对数据进行描述性和逻辑性分析。结果家庭医生需要三级医院对转诊患者能优先预约专家门诊者占99．3％，优先预约检查者占93．3％，优先就诊者占82．2％，优先住院和手术者占83．7％；对于优先预约专家门诊的方式，84．4％的家庭医生选择短期内加号，73．3％的家庭医生需要直接网络预约三级医院大型检查；对于带教方式，62．2％的家庭医生选择专家固定下社区门诊查房时进行带教。结论三级医院应畅通转诊绿色通道和优先措施，提高社区家庭医生能力，完善分级诊疗网络共享平台，并指导家庭医生撰写科研论文，全面促进分级诊疗制度的实施。Objective To learn the needs of family physicians for tertiary hospital support in the hierarchical medical system. Methods In July 2017 cluster sampling was made to 135 family physicians of Changning district of Shanghai for a ＂ Family physicians needs questionnaire＂. It covered such aspects as their demographic characteristics and their needs. The data so acquired were subject to descriptive and logical analysis. Results 99.3% of them need preferential appointment of specialists at tertiary hospitals; 93.3% of them need preferential appointment of examinations; 82. 2% of them need preferential outpatient visits; while 83.7% of them need preferential hospitalization and surgery scheduling. In terms of the approaches for preferential appointment of specialists, 84.4% of them prefer specialist appointment at short notice, and 73.3% of them need direct online appointment for large-scale device examinations at tertiary hospitals. In terms of mentoring scenarios, 62. 2% of them prefer mentoring during outpatient rounds at fixed schedules of specialists in their community. Conclusions Tertiary hospitals are recommended to establish green pathways for referrals and priority measures in order to improve capabilities of family physicians and the shared platform in the hierarchical medical network. They are also expected to guide family physicians in their research paper writing, thus fully supporting the hierarchical medical system.

关 键 词：医师 家庭 分级诊疗 三级医院 合作 需求 

分 类 号：R197.1[医药卫生—卫生事业管理]