| 浅谈双向转诊实施中的障碍与对策 |
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| 引用本文： | 李晓斌,侯准科,马振江.浅谈双向转诊实施中的障碍与对策[J].中国初级卫生保健,2009,23(12):8-9. |
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| 作者姓名： | 李晓斌 侯准科 马振江 |
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| 作者单位： | 新乡医院管理学院,河南,新乡,453003 |
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| 基金项目： | 河南省社科联调研课题:河南省多层次基本医疗保健制度需方评价研究 |
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| 摘 要： | 国内试点地区双向转诊运行的主要问题是“向上转容易．向下转困难，总的转诊率不高”，制约双向转诊制有效运行的障碍主要有供方、需方、第三方等原因。突破双向转诊运行障碍的对策措施主要有：制定有效的监督机制、大力发展社区医疗、建立社区全科医生首诊制和合理配置卫生资源、实施一体化管理等。
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| 关 键 词： | 社区卫生服务 双向转诊 基层医疗机构 |
An Simple Analysis to Countermeasure and Constraints on Two-way Referral |
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| Institution: | LI Xiao-bin, HOU Zhun-ke, MA Zhen- jiang (Management School, Xinxiang Medical College, Xinxiang, He＇nan, 453003, China) |
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| Abstract: | The main problems of the two-way referral implementation of community health service agencies in urban pilot areas are unidirectional hospital-transfer and low general referral rate. The major constraints on the two-way referral efficient function-ning are from the supply-side, demand-side and a third party. Some good suggestions are to be put forward, such as setting up effective supervisory System; advocating community hospitals; establishing first attending system among the community general practitioners; readjusting health resources and implementing the integrated management, etc. |
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| Keywords: | community health service two-way referral primary health care institutions |
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