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农村基层医疗服务双向转诊及影响因素实证研究
引用本文:张婧绮,匡莉,马远珠.农村基层医疗服务双向转诊及影响因素实证研究[J].中国农村卫生事业管理,2012,32(6):556-559.
作者姓名:张婧绮  匡莉  马远珠
作者单位:中山大学公共卫生学院卫生管理系,广东广州,510080
基金项目:2009年广东省卫生厅科技项目《广东省医疗卫生服务体系发展规划及相关问题的研究》
摘    要:目的:定量评价广东省农村基层医疗服务双向转诊的现状并分析其影响因素。方法:构建影响因素的概念框架,通过乡村医生问卷调查和多变量统计回归模型,掌握广东省农村医疗服务转诊特征,探讨影响因素,并结合现实情况分析各环节的相互作用。结果:村卫生站举办模式、统一的转诊标准和规范、村医生的服务能力、村卫生站的硬件建设均对转诊有影响,且村卫生站举办模式与其它因素相互作用。

关 键 词:农村基层医疗服务  双向转诊  影响因素  镇村一体化

Referral mechanism of rural health service and the influencing factors: an empirical research
ZHANG Jing-qi , KUANG Li , MA Yuan-zhu.Referral mechanism of rural health service and the influencing factors: an empirical research[J].Chinese Rural Health Service Administration,2012,32(6):556-559.
Authors:ZHANG Jing-qi  KUANG Li  MA Yuan-zhu
Institution:(Department of Healthcare Management,Sun Yet-sen University,Guangzhou,Guangdong 510080,China)
Abstract:Objective To quantitatively evaluate the performance of health referral mechanism and to analyze the effects of influencing factors.MethodsThe study mainly employed the methods of literature review,questionnaire statistical models.Results & Conclusion The performance of health referral system is affected by the ownership of village clinics,the existence of referral guidelines and standards,the qualifications of village health providers,which are mutually associated.
Keywords:rural health service  referral mechanism  influencing factors  integration of township and village health system
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