深圳市西乡街道双向转诊现状与影响因素分析

目的了解深圳市宝安区西乡街道双向转诊的现状,分析影响双向转诊的相关因素,针对具体问题提出建议和措施。方法采用问卷调查的形式对西乡人民医院及其所属社区健康服务中心(社康中心)医务人员进行调查,调查数据采用SPSS13.0软件进行统计学处理。结果(1)西乡街道双向转诊服务发展迅速,但主要集中在从社康中心向上级医院转诊,下转较少。(2)医院和社区医务人员对转诊认识存在差异,医院医务人员转诊意识不强(P<0.05)。(3)对双向转诊了解、文化程度越高、参与过社区卫生相关知识的培训、接受过转诊病人的医务人员更赞同双向转诊制度。结论应加强对双向转诊的宣传力度,加大对社康中心的技术和人力资源支持,加强对双向转诊的规范管理。

The Present Situation and Main Problems of the Two-way Referral System in Xixiang,Shenzhen

OBJECTIVE To investigate the present situation of the two-way referral system of Xixiang street,analyze the main problems and bring the suggestion to deal with them,which may be helpful to the development of two-way referral system. METHOD To investigate the staffs in Xixiang people's hospital and the community health service centers with the questionnaires,then synthesize and analyze all of the survey data by SPSS 13.0 statistical software. RESULT (1)The development of the referral is rapid,but mainly concentrating on the up-referral from community hospitals to higher-level hospital.(2)The referral awareness shows the significant difference between the staffs in Xixiang hospital and the staffs in community health service centers (P<0.05).(3)Medical personnel who knew the two-way referral system,were highly educated,received the training about the community health knowledge and the referral patients tend to approve the two-way referral system. CONCLUSION In order to guarantee the sustainable development of the community health service,we should strengthen the propaganda and management of the two-way referral system,enhance the support to the community health service centers.