医联体模式下神经内科医患双方对分级诊疗的认知及影响因素分析  

Analysis of the cognition and influencing factors of both doctors and patients in neurology department towards graded diagnosis and treatment under the medical consortium model

作　　者：于萍 王广英[1] 张环 王敏[1] 徐璐瑶 牛凤琳 YU Ping;WANG Guangying;ZHANG Huan;WANG Min;XU Luyao;NIU Fenglin(Linyi People’s Hospital,Linyi 276000,China)

机构地区：[1]临沂市人民医院,山东临沂276000

出　　处：《现代医院》2025年第3期409-412,416,共5页Modern Hospitals

基　　金：临沂市重点研发计划(医学类)(2023YX0135)。

摘　　要：目的了解临沂市某三甲医院医联体内神经内科医患双方对分级诊疗的认知并探究其影响因素。方法采用方便抽样法选取临沂市某三甲医院医联体内20所医疗机构共计456名调查对象进行问卷调查,其中医务人员191份,患者265份;访谈医务人员和患者共计35人。结果医务人员和患者对分级诊疗的总体认知度分别为(3.731±0.563)分和(3.136±0.367)分。医务人员对分级诊疗的影响因素为职称、工作年限和所在医院等级。患者分级诊疗的影响因素为年龄、医疗保险类型、月均收入和有无转诊经历。结论在加强信息化建设、加强政府监管和投入以及强化基层医疗机构能力建设的同时,还应积极推进紧密型医联体的构建,以加速形成规范有序的就医诊疗新体系。Objective To investigate the cognition of both doctors and patients in the neurology department of a tertiary hospital in Linyi City regarding graded diagnosis and treatment,and to explore its influencing factors.Methods Convenient sampling was used to select 456 survey subjects from 20 medical institutions within the medical consortium of a tertiary hospital in Linyi City,including 191 medical staffs and 265 patients;A total of 35 medical staffs and patients were interviewed.Results The overall awareness of graded diagnosis and treatment among medical staff and patients was(3.731±0.563)points and(3.136±0.367)points,respectively.The influencing factors of medical staff on grading diagnosis and treatment are professional title,years of work experience,and hospital grade.The influencing factors of patient on grading diagnosis and treatment are age,type of medical insurance,average monthly income,and whether they had a transfer experience.Conclusion While strengthening information technology construction,government supervision and investment,and enhancing the capacity building of grassroots medical institutions,it is also necessary to actively promote the construction of close medical consortia to accelerate the formation of a standardized and orderly new system for medical treatment and diagnosis.

关 键 词：医联体 脑卒中 分级诊疗 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]