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目的现阶段大部分“双向转诊”研究着重于社区与三级医疗机构之间,本课题旨在了解二级医院在双向转诊中的作用与地位。方法调查2007年1月1日-2008年6月30日广州医学院荔湾医院与社区卫生服务机构之间以及该医院与三甲医院之间的双向转诊情况。结果2007年全年本医院与社区卫生机构间完成双向转诊414人次(包括部分医保病人)2008年上半年共完成499人次,已超出2007年全年20%。医保人员的双向转诊,2007年本院与社区医院间完成转诊216人次,2008年上半年,完成162人次,达2007年75%。2007年本院与三甲医院间完成双向转诊136人次,2008年上半年完成87人次,达2007年全年64%。结论在双向转诊中,二级医院在社区和三级医院间起到了一个桥梁作用,加强二级医院在双向转诊中的作用,能使医疗资源得到更有效合理地使用。
Objectives Most of the current bi-directional referrals focus on community and tertiary medical institutions. The purpose of this project is to understand the role and status of secondary hospitals in bi-directional referral. Methods To investigate the two-way referral status between Guangzhou Medical College Liwan Hospital and community health service agencies and between the hospital and the top three hospitals from January 1, 2007 to June 30, Results Four hundred and seventy-two referrals (including some Medicare patients) were completed between the hospital and community health institutions in 2007 through the first half of 2008 with a total of 499 person-times, exceeding the figure of 20% in 2007. Two-way referral of medical insurance personnel In 2007, 216 referrals were completed between this hospital and community hospitals. In the first half of 2008, 162 referrals were completed, reaching 75% in 2007. In 2007, there were 136 bidirectional referrals between this hospital and the top three hospitals, 87 completed in the first half of 2008, reaching 64% of the whole year of 2007. Conclusions In the two-way referral, the second-level hospital plays a role as a bridge between the community and the third-level hospital, and strengthens the role of the second-level hospital in the two-way referral so that the medical resources can be used more effectively and reasonably.