北京市全科医师骨干培训班学员对转诊工作现状的评价及对转诊标准的需求情况调查

目的了解北京市社区卫生服务机构的转诊工作现况和对转诊标准的需求情况。方法对来自各区县社区卫生服务机构的北京市全科医师骨干培训班的学员进行问卷调查。结果社区卫生服务机构的转诊工作现状不尽如人意,转诊率低,主要原因是上下转诊渠道不通畅、转上不转下和没有统一的转诊标准;全科医师对转诊标准的需求愿望强烈。结论应尽快制定社区卫生服务机构转诊指南和主要症状及疾病的转诊指征,完善双向转诊制度。

Assessment on Present Referral Situation by Trainees of Training Program for Beijing Key General Practitioners and Demands for Referral Criteria

Objective To understand the present situation of medical referral in community health service (CHS) institutions of Beijing and the demands for referral criteria.Methods A questionnaire survey was conduced among trainees of training program for key general practitioners form CHS institutions in Beijing.Results The present situation of referral was unsatisfactory;with a lower referral rate.The major problems were unsmooth referral channel between the higher level hospital and CHS institutions,more up-referral from CHS institutions to higher-level hospital,and no unified referral criteria.General practitioners had an urgent demand for referral criteria.Conclusion In order to improve the two-way referral system,the referral guidelines and referral indicators or main symptoms of diseases for CHS institutions should be made as soon as possible.