Investigation on the Current Situation of Referral for Critically Ⅲ Pregnant Women in Beijing and Chongqing
- VernacularTitle:北京市和重庆市危重孕产妇救治中转诊现状调查
- Author:
Jing HU
1
;
Yike YANG
;
Yan WANG
Author Information
1. 北京大学第三医院妇产科国家产科医疗质量控制中心,北京 100191
- Publication Type:Journal Article
- Keywords:
Management of critically ill pregnant women;
Transferal;
Geographic environment;
Investigation on the current status
- From:
Journal of Practical Obstetrics and Gynecology
2025;41(8):654-659
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of referral for critically ill pregnant women in Beijing and Chongqing,provide improvement strategies for the management of referral for critically ill pregnant women.Meth-ods:From May 2022 to June 2024,a self-made questionnaire was used to survey medical staff at different levels of midwifery institutions in Beijing and Chongqing through the internet.The survey targets 18 midwifery institutions in Haidian District and Changping District of Beijing,as well as 50 midwifery institutions in 25 districts and counties of Chongqing.Collect and analyze basic information of the surveyed subjects,the operation of the referral process for critically ill pregnant women(including familiarity and rationality of the referral process),referral indications,dif-ficulties and problems encountered during the referral process,etc.Results:①In this study,a total of 761 valid questionnaires were collected,of which 539 were from Beijing and 222 were from Chongqing.Among 761 surveyed individuals,physicians accounted for 51.4％and nurses(including midwives)accounted for 48.6％;39.7％of the cases came from third level midwifery institutions,while 60.3％came from second level or lower midwifery institu-tions.②93.1％of the surveyed medical staff were familiar with the referral process,with 92.8％in Beijing and 94.2％in Chongqing.There was no statistically significant difference between the two regions(x2=2.843,P=0.241);98.3％of the surveyed medical staff believed that the referral process in their unit was reasonable,with 98.9％in Beijing and 96.8％in Chongqing.There was no statistically significant difference between the two re-gions(x2=4.121,P=0.127).③ The main problems encountered by referral institutions were delayed patient ref-errals(51.0％)and unclear case reporting(42.9％),while the most common difficulties encountered by referral institutions were poor referral transportation(29.5％),inability to respond to referral requests in a timely manner(17.9％),and difficulties in inter hospital communication(17.7％).Conclusions:Medical staff in Beijing and Chongqing are familiar with the referral system for critically ill pregnant women and have achieved good operation-al results.In response to the main problems and difficulties in the current referral process,it is recommended to combine online and on-set consultations to promote continuous communication,standardize referral case records,establish a two-way referral model and regular feedback mechanism,and strengthen targeted personnel commu-nication.
