社区卫生服务双向转诊新模式研究

目的探索建立一套政府、医院、社区卫生服务机构和居民四方满意、渠道畅通、切实可行、可持续发展的社区卫生服务双向转诊新模式。方法以东城区20家社区卫生服务站和区域内4家综合或专科医院作为参与单位,通过寻求医保等相关政策支持、强化社区卫生机构内涵建设、明确医院权利义务、规避转诊双方利益竞争、搭建信息平台支撑等一系列综合措施,建立一套社区卫生服务双向转诊新模式。结果医院和社区卫生服务站建立了双向转诊管理和考评机制,制定了双向转诊流程和标准,畅通了信息共享和转诊通道。上转有效率为97.2%,下转有效率为100.0%,双向转诊率为72.8%。结论发挥政府公共服务职能,充分调动医院、社区卫生服务机构和居民的积极性才能建立渠道畅通、可持续发展的社区卫生服务双向转诊模式。

Study of the new dual referral model of community health services

Objective To study the new community health service dual referral model.Methods 20 community health service stations and 4 integrated or specialized regional hospitals in Dongcheng District served as participant units,by a series of comprehensive measures such as seeking medical Insurance and other related policy support,strengthening the connotations and constructions of community health stations,defining the rights and obligations of the hospitals,avoiding the competitions of interests of the referral sides,constructing an information supporting platform,in order to establish a new dual referral model of community health services.Results A dual referral management and evaluation mechanisms between hospitals and community health service stations was established.A dual referral process and standards was developed,a channel for information sharing and referral between hospitals and community health service stations was opened.The roll-out effective ratio was 97.2%,the roll in effective ratio was 100.0%,the dual referral effective ratio was 72.8%.Conclusion Exerting the functions of government＇s public service,fully mobilizing the enthusiasm of the hospitals,community health service institutions and the residents are a strong guarantee to establish a convenient,sustainable developed dual referral community health service model.