Exploration on impacting factors for restricting two-way referral system from patient's perspective
10.3969/j.issn.1671-8348.2018.07.024
- VernacularTitle:从患者角度探索制约双向转诊的影响因素
- Author:
Xinxin WANG
1
;
Xing YAN
;
Xianglin WEI
;
Xiaoyu FAN
;
Qianqian LIU
;
Yuqin GUO
;
SUBINUER
Author Information
1. 长沙医学院公共卫生学院
- Keywords:
referral and consultation;
two-way referral system;
patient;
restraining factors
- From:
Chongqing Medicine
2018;47(7):947-949
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore and discuss the factors for restricting the two-way referral system from the patient's perspective in order to promote the formation of hierarchical medical system in Changsha City.Methods The stratified random sampling method was adopted to divide the Chansha City into the 3 grades of high,middle and low according to the regional economical development situation,2 districts in one grade,including 6 districts.Then each district was redivided into high,middle and low grades according to the economic situation,2 basic medical institutions were selected from each grade.A total of 360 patients were randomly sampled for conducting the questionnaire investigation.The patients and doctors specially participating in the two-way referral conducted the deep interview.Results The patients choosing to primary hospital for first visit accounted for 60.9％.The awareness degree of patients to two-way referral system was 21.1％,and the two-way referral service satisfaction in the patients with two-way referral was 85.7 ％.The patients' will of transfer treatment from primary hospital to superior hospital in case of disease condition need was 82.9 ％.The patients' will for conducting rehabilitation treatment from superior hospital to primary hospital was 77.6 ％.Conclusion Few patients choose primary hospital for first visit.The signing rate of family contract services is low and awareness degree of two-way referral system is not high.
