医患行为对我国农村乡县跨级住院服务整合的影响.pdfVIP

专题研究 Zhrlnll yanJl u (!PIEU1t盼和爸和航总第417期) 2016~4月 医患行为对我国农村乡县跨级住院服务整合的影晌* 铺 要 我国农何地区乡里黯级佳院服务整合申存在患者病历信息传递困难、县级医生乡镇信息利用程度不高的问 题.真原因在于意者缺乏信患传递意识、对乡镇医疗水平不信任、乡镇E生院医生盯瞩意者携带信息意识不强、 县级医院 医生利用乡镇信息主动性缺乏并存在对立风险等。医生行为对黯级服务整合的影响体现在能刀和台何行为上.而患者自由 就医的行为则不利于医患沟通的稳定与医疗机构分工协悻。乡县黯级佳院服务的整合需要强化医生的整合服务意识以及患 者的合理就医与信息传递意识，推动不罔层缎医疗机构间整合政策的制定需要关注保障机制和约束机制.同时通过量化核 算衡量利弊决定县域信息系统的建立。 关键词 躇缎佳院再λ院信患传递医生行为连续性农村 中团分类号 R197.3 文献标志码 A 文章编号 1001-5329(2016)04-002 1-04 What Impact Does 8ehavior of Doctors and Patients on Service Integration of Multi-institutional Readmis- sion in Rural China I ZHANG Yan , lU Shan . ZHANG liangll Chinese Hospital Management , 2016 , 36 (4 ) : 21-24 Abstract There are several problems in service integration of multi-institutional readmission in rural China. For exam- ple , it is difficult for patients to transfer inpatient treatment information du ring readmission between township hospi- tals and county hospitals , and the utilization of previous treatment is inadequate . AII of these problems results from Patients lacking of conscious awareness of info rmat ion transfer , not believing in the treatment of county hospitals , doctors lacking awareness of urging information transfer and utilizing information , etc . The impact of doctor be- havior on service integration of multi- institutional readmission reflects on ability and cooperation , while t he disor- dered hospitalization choices of patients have no benefit on information transfer and duty division . In conclus ion , ser- v ice integration of multi-institutional readmission needs to strengthen the w illingness of cooperation among doctors and the awareness of information transfer among patients. Relevant poli