社区医院与三级医院之间双向转诊实践与探索.docVIP

社区医院与三级医院之间双向转诊实践与探索 　　【摘 要】目的 探讨社区医院与三级医院之间双向转诊的具体实施和管理的经验。方法 回顾我院自2008年3月起与社区医院开展双向转诊工作的情况，探讨工作实施的成效和管理上的经验和体会，以提高双向转诊工作的效果。结果 双向转诊工作的开展是社区医院与三级医院之间联系的一个新的机制，极大的方便了患者的就医，改变了以往患者不论大病、小病在首诊时就涌进三级医院的局面，减少了病人就医的盲目性，从而也缓解了二、三级医院人满为患的状况；为解决“看病难”有了新的突破，具有显著的社会效益。结论 双向转诊工作能起到方便患者就医和减少患者就医的盲目性以及缓解了三级医院人满为患的状况，值得推广和应用。 　　【关键词】社区医院；双向转诊；实施与探索 　　The Two-way referral between community hospital and tertiary hospital practice and exploration 　　Zhangmeiling Yangzhigang Shaolixin 　　（Qingpu Branch 0f Zhongshan Hospital，Fudan University，Shanghai 201700，china） 　　Abstract objective Explore The two-way referral between community hospital and tertiary hospital specific implementation and management experience.Methods Review of our hospital since March 2008 and community hospitals to carry out The two-way referral work，Results and management of work experience and understanding，In order to improve the effect of two-way referral work.Results Work of The two-way referral between community hospital and tertiary hospital contact mechanism of a new，Great convenience to the patients medical treatment，Changed the past regardless of a serious illness，patients with slight illness in the first option into tertiary hospital，To reduce the blindness of a patient，Thus relieve the secondary and tertiary hospitals overcrowded conditions；To solve the difficult have new breakthrough，Has significant social benefits.Conclusion The Two-way referral work can have convenient was hospitalized and reduce the blindness of patients hospitalized and alleviate the tertiary hospitals overcrowded conditions，Is worth popularization and application. 　　Key words：Community hospital；The Two-way referral；mplementation and explore 　　双向转诊（The Two-way Referral）是指根据病情和人群健康的需要而进行的上下级医疗机构间、专科医院间或综合医院与专科医院间的转院诊治过程。它可以分为纵向转诊和横向转诊两种形式[1]。我院自2008年3月起就开展了此项工作，经过实践和不断的改进及完善，在方便患者就医，减少患者就医的盲目性、缓解看病难和减轻我院人满为患的状况等方面取得了很大的成效，现分析如下。 　　1资料 　　1.1建立双向转诊的机制 　　我院自2008年3月起积极落实上海市卫生局，医疗保险局，财政局关于印发《本市居民社区就诊和定向转诊普通门（急）诊诊查费减免试行办法》的通知的精神[2