医联体医疗服务连续性现状与影响因素分析  

Analysis of the Status Quo and Influencing Factors of Medical Service Continuity in Medical Consortium

作　　者：陶丽丽 于琳娜 周萍[2] 李春新 顾卓敏 陈颖[1] 唐燕[3] 奚益群 TAO Lili;YU Linna;ZHOU Ping(Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,200233,China;不详)

机构地区：[1]上海交通大学医学院附属第六人民医院,上海200233 [2]复旦大学公共卫生学院,上海200032 [3]上海市儿童医院,上海200062

出　　处：《中国卫生质量管理》2024年第11期84-88,共5页Chinese Health Quality Management

基　　金：2023年上海市卫健委卫生行业临床研究专项(编号:202340079);上海市第六人民医院医院管理健康联合体科研专项(编号:lylht202316)。

摘　　要：目的调查上海市某区域医联体的医疗服务连续性现状,分析影响因素,为进一步完善纵向整合型医疗卫生服务体系提供参考。方法于2024年4月-5月,随机抽取上海市某区域医联体牵头医院和3家社区卫生服务中心近两年内有过转诊经历的354名患者进行问卷调查。利用单因素及多元线性回归进行影响因素分析。结果医联体医疗服务连续性总分(51.74±7.93)分,关系连续性维度得分(26.10±4.13)分,管理连续性维度得分(12.95±2.24)分,信息连续性维度得分(12.66±2.46)分。是否有经济来源是医联体医疗服务连续性总体、关系连续性及管理连续性维度的影响因素(P<0.05)。结论该区域医联体医疗服务连续性总体情况较好,但牵头医院与患者的关系紧密度有待提升,药品连续性供应保障机制尚未健全,转诊患者的诊疗信息传递与共享受限,低收入患者群体医疗服务连续性体验感较差,老年患者群体医疗服务连续性评价较低等。Objective To investigate the status quo of medical service continuity in a regional medical consortium in Shanghai,analyze the influencing factors,and provide reference for further improving the vertically integrated medical health service system.Methods From April to May 2024,a questionnaire survey was conducted among 354 patients who had referral experience in the past two years,randomly selected from the regional medical consortium leading hospital and three community health service centers in Shanghai.Single factor and multiple linear regression were used to analyze the influencing factors.Results The total score of medical service continuity in a regional medical consortium was(51.74±7.93),the score of relationship continuity dimension was(26.10±4.13),the score of management continuity dimension was(12.95±2.24),and the score of information continuity dimension was(12.66±2.46).Whether there is an economic source was the influencing factor of the overall continuity of medical service,relationship continuity and management continuity(P<0.05).Conclusion The overall situation of medical service continuity in the regional medical consortium is good,but the relationship between the leading hospital and the patients needs to be improved,and the guarantee mechanism of drug continuity supply is not yet perfect,the transmission and sharing of diagnosis and treatment information of referral patients are limited,the experience of medical service continuity of low-income patients is poor,and the evaluation of medical service continuity of elderly patients is low.

关 键 词：医联体 医疗服务连续性 

分 类 号：R197.32[医药卫生—卫生事业管理]