某三甲医院医联体服务中心运行举措与成效  

Operation effect of the medical consortium service center in a general hospital

作　　者：贾玉娥[1] 王志远 秦慧艳[1] 谢铄 钟秋媚[1] 庄淯媛 潘思如 谢军 夏欧东[1] 王丽姿[1] JIA Yu’e;WANG Zhiyuan;QIN Huiyan;XIE Shuo;ZHONG Qiumei;ZHUAG Fuyuan;PAN Siru;XIE Jun;XIA Oudong;WANG Lizi(Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;不详)

机构地区：[1]南方医科大学珠江医院,广东广州510282

出　　处：《现代医院》2021年第5期661-663,共3页Modern Hospitals

摘　　要：目的探讨医联体牵头医院住院患者双向转诊流程和实践效果。方法成立医联体服务中心,制定住院患者双向转诊管理规定和服务标准,优化转诊流程,落实转诊患者“一免六优先”待遇,并比较成立前后双向转诊人次、满意度等。结果中心成立6个月,总上转2632人次,下转78人次,其中,建群联盟单位上转345人次,下转29人次,数据与成立前6个月比较有明显差异(P<0.05)。转诊做到“从病房到病房”的无缝对接,与联盟单位建立14个微信沟通平台,分享文献16次,推广学术活动34次,适时进行科室介绍和案例分享,满意度大于95%。结论牵头医院成立医联体服务中心,保证急危重症快速上转做到零通道,提升双向转诊患者服务质量和效率,为转诊住院患者提供一体化就医体验,提高下转率和联盟医院的服务能力,促进医联体快速健康发展。Objective To explore the process and operation effect of the medical consortium service center of a general hospital in practicing a two-way referral for inpatients.Methods The medical consortium service center was established,followed by formulating management regulations and service standard for two-way referral of hospitalized patients,optimizing referral process,and implementing the‘one exemption,six priorities’for referral patients.Comparisons were conducted between pre-and post-establishment of the center in terms of the degree of satisfaction and number/time of two-way referral patients.Results Six months after the establishment of the center,2632 patients/times were transferred to the upper-level hospitals and 234 to the lower-level hospitals.Within the medical consortium,345 patients/times were transferred to the upper-level and 29 to the lower level.There was significant difference in the patients for medical referral as compared to pre-establishment(P<0.05).After the establishment,the referral of patients was done directly from a ward of a hospital to a ward of another hospital.The center built 14 WeChat groups among the members of the consortium,shared medical literature for 16 times and promoted 34 medical conferences,introduced the departments of the hospitals and carried out care-sharing panels regularly.The center achieved the degree of satisfaction by 95%.Conclusion The leading hospital initiates to establish the service center for the medical consortium so that it can ensure the fast patients’referral with‘zero channel’,ensuring the elevated service quality and efficacy.In this way,the center can provide medical experience of inpatients in integrated referral,improve the lower-level referral rate as well as the service capacity of the medical consortium members,and ultimately boost the rapid and healthy development of the consortium.

关 键 词：医联体 双向转诊 服务中心 分级诊疗 上转 下转 

分 类 号：R197.1[医药卫生—卫生事业管理] R197.32[医药卫生—公共卫生与预防医学]