北京市社区卫生服务双向转诊现况研究.pdfVIP

·2006· ·全科医疗/社区卫生服务工作研究· 北京市社区卫生服务双向转诊现况研究 刘亚军，冯志兰，李 楠 ，张向东，许峻峰，胡 强 摘要 目的 【 】 研究目前北京市社区卫生服务双向转诊现况，分析其可能存在的原因并提出对策及建议。 方法 收集北京市18个区县的2 082 家社区卫生服务机构2008年3—9 月的诊疗人次数、上转患者人次数和综合医 院下转患者人次数，计算各区县社区卫生服务机构上转率和综合医院下转率。分别比较全市18个区县的社区卫生 服务机构上转率与综合医院下转率、城区与郊区社区卫生服务机构的上转率、城区与郊区综合医院的下转率之间 是否存在差距。结果 全市18个区县的社区卫生服务机构上转率与综合医院下转率比较，差异具有统计学意义 （P ＜0.05) 。全市城区与郊区的社区卫生服务机构上转率比较，差异无统计学意义(P ＞0.05) ；城区与郊区的综合 医院下转率比较，差异亦无统计学意义 （P ＞0.05 ）。结论 目前北京市社区卫生服务机构在双向转诊过程中处 于相对单向流动状态，即社区卫生服务机构的上转率明显高于综合医院的下转率；城区与郊区间的地区差距不是 造成这一结果的主要原因。 关键词 【 】社区卫生服务；双向转诊；北京 【中图分类号】 R 197 【文献标识码】A 【文章编号】 1007-9572 （2009）11-2006-03 Current Status of the Two-way Referral between Community Health Service Institutions and Hospitals in Beijing LIU Ya-jun, FENG Zhi-lan, LI Nan, et al.Beijing Community Health Service Management Center, Beijing 100053, China Abstract Objective  To study the two-way referral status between community health service institutions and 【 】 hospitals in Beijing, and to find out the existing issues and to analyze their reasons.Methods  The person-times were collected from March to September 2008, including that visiting in 2 082 community health service institutions in 18 districts or counties in Beijing, that of upward-referral (from community health service institutions to general hospitals) and that of downward- referral (from general hospitals to the community health service institutions). The upward-referral rate and downward-referral rate were calculated. Then the upward-referral rates and downward-referral rates between the urban and rural areas were compared respectively. Results The upward-referral rate in all the 18 districts or counties was significantly higher than downward-referral ＜ rate (P 0.05) . There were no significant difference between the urban and the suburb in Beijing in both upward-referral rate and