[1]陈玉香,蒋 鹏,刘 顺,等.医联体内患者基层首诊意愿及其影响因素研究[J].卫生经济研究,2021,38(9):13-17.
　CHEN Yu-xiang,JIANG Peng,LIU Shun,et al.Study on the Willingness and Influencing Factors of Patients on Primary Treatment[J].Journal Press of Health Economics Research,2021,38(9):13-17.
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医联体内患者基层首诊意愿及其影响因素研究
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年9期
页码:
13-17
栏目:
聚焦医改
出版日期:
2021-08-26

文章信息/Info

Title:
Study on the Willingness and Influencing Factors of Patients on Primary Treatment
作者:
陈玉香1; 蒋 鹏1; 刘 顺1; 梁雷颖1; 赵劲民1
1.广西医科大学，广西 南宁530021
Author(s):
CHEN Yu-xiang;  JIANG Peng;  LIU Shun;  LIANG Lei-ying;  ZHAO Jin-min
Guangxi Medical University, Nanning Guangxi 530021, China
关键词:
医联体; 基层首诊; 分级诊疗
Keywords:
medical alliance;  primary treatment;  hierarchical diagnosis
分类号:
R197
文献标志码:
B
摘要:
目的:为推进医联体建设、落实基层首诊和双向转诊提供实证依据和政策建议。方法: 选择广西试点医联体内住院患者和门诊患者开展问卷调查，分析评价患者的就医选择、基层首诊意愿及其影响因素。结果:47.2%的患者有医联体内转诊经历，83.3%的患者对转诊满意，但只有29.4%的患者了解医联体相关政策，64.9%的患者愿意到基层首诊，患者的受教育程度、对医联体了解程度和就诊医院类型对其基层首诊意愿具有显著影响。结论:广西医联体建设取得一定的成效，患者基层首诊意愿较为明显，但对医联体了解程度不高；要提升基层服务能力，加大“三医”协同联动，实现患者自主自愿的基层首诊，推动医联体内分级诊疗的真正落地。
Abstract:
Objective To provide empirical evidence and policy recommendations for advancing the medical alliance construction, implementing primary treatment and two-way referral. Methods The inpatients and outpatients in the Guangxi pilot medical alliance were selected to conduct a questionnaire survey to analyze and evaluate the patient's choice of medical treatment, the primary treatment willingness and its influencing factors. Results 47.2% of the patients had the experience of referral in the medical alliance 83.3% of the patients were satisfied with the referral, but only 29.4% of the patients understood the medical alliance related policies, and 64.9% of the patients were willing to have the primary treatment at the grassroots. And the patients education level, the understanding degree of medical alliance and the hospital type have a significant impact on the willingness of patient's primary treatment. Conclusion The construction of Guangxi medical alliance has achieved certain results. The willingness of patients' primary treatment is relatively obvious, but the level of understanding of the medical consortium is not high enough; it is necessary to improve the primary service capacity, increase the coordination and linkage of "medical-insurance-medicine", and realize patients voluntary to have the primary treatment at grassroots level, and promotes implementation of hierarchical diagnosis and treatment within the medical alliance.

参考文献/References:

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更新日期/Last Update: 2021-08-26