Volume 20 Issue 4
Apr.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(4): 635-638
WEI Jun-tao, GE Meng-ying, LIU Zhong-ling, ZHAO Yang-guang, LIU Xiao-na, CHEN Bo-lin. Current situation and analysis of the two-way referral system in Luohe based on the mode of health alliance[J]. Chinese Journal of General Practice, 2022, 20(4): 635-638. doi: 10.16766/j.cnki.issn.1674-4152.002418
Citation: WEI Jun-tao, GE Meng-ying, LIU Zhong-ling, ZHAO Yang-guang, LIU Xiao-na, CHEN Bo-lin. Current situation and analysis of the two-way referral system in Luohe based on the mode of health alliance[J]. Chinese Journal of General Practice, 2022, 20(4): 635-638. doi: 10.16766/j.cnki.issn.1674-4152.002418
shu

Current situation and analysis of the two-way referral system in Luohe based on the mode of health alliance

doi: 10.16766/j.cnki.issn.1674-4152.002418
  • 1.

    Science and Education Division, Luohe Central Hospital, Luohe, Henan 462300, China

Funds:

 2018021030

  • Received Date: 2021-11-02
    Available Online: 2022-08-20
    Abstract
  •   Objective  To understand the two-way referral system between doctors and patients in Luohe under the mode of health alliance, investigate the views and attitudes about the two-way referral implementation methods, understand the views of doctors and patients on the decision-making power of two-way referral, explore the main reason why the two-way referral is difficult to implement and put forward improvement measures to provide a theoretical and policy basis for the smooth implementation of the two-way referral system.  Methods  We conducted this survey from July to December 2019. Completely random sampling was used. Eight medical institutions in the area were randomly selected, including four community health service centres, two second level hospitals and two third level hospitals. A face-to-face questionnaire survey was conducted amongst 300 medical personnel and 300 patients who were hospitalised or visited the outpatient department on the same day. SPSS 21.0 statistical software was used for statistical analysis of the data.  Results  Five hundred and eighty-five valid questionnaires were collected. The awareness of patients on two-way referral was only 27.92%. There was a statistical difference between the doctors and patients' cognition of two-way referral (P < 0.05). Approximately 56.55% of patients chose to seek medical treatment in secondary or above hospitals, and 36.90% of patients chose to seek medical treatment in community health service centres. There was a statistical significance between hospital and community patients in terms of their intention to seek medical treatment (all P < 0.001). The differences of views on the implementation of two-way referral were statistically significant between hospital staff and patients, as was the case between community health staff and patients (P < 0.001). Approximately 55.88% of hospital doctors and 74.21% of community doctors believed that the decision of two-way referral should be made by doctors; 50.69% of patients believed that the decision should be made by patients. Both doctors and patients believed that the important reasons for two-way referral were medically driven by institutional economic interests, there was no unified two-way referral system and standards, and patients did not understand the referral system.  Conclusion  Insufficient cognition, weak awareness of referral, driven by the economic interests of medical institutions and the lack of unified referral system and standards have become important reasons for hindering two-way referral. The system and compensation mechanism should be improved to promote the smooth development of two-way referral.

     

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    • References(19)
  • [1]
    于洗河, 孙宇哲, 贾欢欢, 等. 吉林市基层医务人员对双向转诊的认知及影响因素[J]. 医学与社会, 2019, 32(1): 55-58, 66. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH201901013.htm

    YU X H, SUN Y Z, JIA H H, et al. Cognition of two-way referral of primary medical staff in jilin city and influencing factors[J]. Medicine and Society, 2019, 32(1): 55-58, 66. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH201901013.htm
    [2]
    赵岩, 祁艳波. 黑龙江省医联体内医务人员对医联体认知情况调查分析[J]. 中国卫生事业管理, 2019, 36(9): 654-656, 671. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201909009.htm

    ZHAO Y, QI Y B. Investigation and analysis of medical staff's cognition of medical consortium in Heilongjiang Province[J]. Chinese Health Service Management, 2019, 36(9): 654-656, 671. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201909009.htm
    [3]
    王笑君, 王静, 沈汉斌, 等. 武汉市第五医院纵向医联体模式的创新与实践[J]. 中国卫生质量管理, 2017, 24(1): 72-74. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG201701032.htm

    WANG X J, WANG J, SHEN H B, et al. Innovationand practice of vertical medical alliance pattern in the Fifth Hospital of Wuhan[J]. Chinese Health Quality Management, 2017, 24(1): 72-74. https://www.cnki.com.cn/Article/CJFDTOTAL-WSJG201701032.htm
    [4]
    程继侠, 王西利, 吕云侠, 等. 铜川市1 300例就诊患者对双向转诊认知及满意度的现状调查[J]. 实用预防医学, 2017, 24(9): 1072-1074, 1083. doi: 10.3969/j.issn.1006-3110.2017.09.013

    CHENG J X, WANG X L, LYU Y X, , et al. Investigation of 1 300 patients' cognition and satisfaction of two-way referral in Tongchuan city[J]. Practical Preventive Medicine, 2017, 24(9): 1072-1074, 1083. doi: 10.3969/j.issn.1006-3110.2017.09.013
    [5]
    李丹慧, 杨佳. 北京市各级医院医务人员对双向转诊认知及实施情况调查[J]. 中国医院, 2020, 24(10): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYU202010005.htm

    LI D H, YANG J. A survey of medical staff's cognition and implementation of two-way referral in hospitals at all levels in Beijing[J]. Chinese Hospitals, 2020, 24(10): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYU202010005.htm
    [6]
    卫维, 李亚军, 刘顺智, 等. 西安市双向转诊制度的实施现状与对策分析[J]. 中华全科医学, 2018, 16(5): 805-808. doi: 10.16766/j.cnki.issn.1674-4152.000220

    WEI W, LI Y J, LIU S Z, et al. Analysis of present implementation situation and countermeasures of the two-way referral in Xi'an[J]. Chinese Journal of General Practice, 2018, 16(5): 805-808. doi: 10.16766/j.cnki.issn.1674-4152.000220
    [7]
    钟艳宇, 陈娟. 我国医联体中双向转诊制度的实施现状及对策[J]. 中国医药导报, 2017, 14(16): 154-158. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201716040.htm

    ZHONG Y Y, CHEN J. Current situation and strategy of two-way referral implementation in integrated delivery system of China[J]. China Medical Herald, 2017, 14(16): 154-158. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201716040.htm
    [8]
    朱洪坤. 双向转诊制度的建立和实施[J]. 江苏卫生事业管理, 2015, 26(2): 20-21. https://www.cnki.com.cn/Article/CJFDTOTAL-JWSG201502014.htm

    ZHU H K. Establishment and implementation of two-way referral system[J]. Jiangsu Healthcare Administration, 2015, 26(2): 20-21. https://www.cnki.com.cn/Article/CJFDTOTAL-JWSG201502014.htm
    [9]
    易利华, 黄培, 江淑秋, 等. 三家医联体主体医院双向转诊现状分析及建议[J]. 中华医院管理杂志, 2015, 31(4): 253-256. doi: 10.3760/cma.j.issn.1000-6672.2015.04.004

    YI L H, HUANG P, JIANG S Q, et al. Analysis on the two-way referral by leading hospitals of three health alliances[J]. Chinese Journal of Hospital Administration, 2015, 31(4): 253-256. doi: 10.3760/cma.j.issn.1000-6672.2015.04.004
    [10]
    谢翩翩. 基于激励相容理论的医联体激励机制研究[D]. 合肥: 安徽医科大学, 2020.

    XIE P P. Research on incentive mechanism of medical consortium based on incentive compatibility theory[D]. HE FEI: ANHUI MEDICAL UNIVERSITY, 2020.
    [11]
    李洪涛. 我国医联体中双向转诊制度的实施现状及对策探讨[J]. 临床医药文献电子杂志, 2018, 5(35): 180-182. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201835100.htm

    LI H T. Discussion on the implementation status and countermeasures of two-way referral system in medical union in China[J]. Journal of Clinical Medical Literature, 2018, 5(35): 180-182. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201835100.htm
    [12]
    庄岩. 门诊患者对双向转诊知晓率及意愿影响因素分析[D]. 昆明: 昆明医科大学, 2013.

    ZHAUNG Y. Analysis of influencing factors of outpatients' awareness rate and willingness to two-way referral[D]. KUN MING: Kunming Medical University, 2013.
    [13]
    卫维, 李亚军, 刘顺智, 等. 西安市双向转诊制度的实施现状与对策分析[J]. 中华全科医学, 2018, 16(5): 805-808. doi: 10.16766/j.cnki.issn.1674-4152.000220

    WEI W, LI Y J, LIU S Z, , et al. Analysis of present implementation situation and countermeasures of the two-way referral in Xi'an[J]. Chinese Journal of General Practice, 2018, 16(5): 805-808. doi: 10.16766/j.cnki.issn.1674-4152.000220
    [14]
    罗昭旸, 刘利. 重庆市某医联体医患双方对双向转诊认知的调查研究[J]. 中国全科医学, 2020, 23(12): 1535-1540. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202012014.htm

    LUO Z Y, LIU L. Research on two-way referral cognition of doctors and patients in medical treatment partnership system in Chongqing[J]. Chinese General Practice, 2020, 23(12): 1535-1540. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202012014.htm
    [15]
    杨立成, 鲍琳辉, 田义娟, 等. 医联体模式下构建双向转诊机制的探讨[J]. 中国医院, 2015, 19(7): 33-35. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYU201507015.htm

    YANG L C, BAO L H, TIAN Y J, et al. Discussion on the dual referral mechanism based on hospital CIS mode[J]. Chinese Hospitals, 2015, 19(7): 33-35. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYU201507015.htm
    [16]
    傅喆暾, 姚纹, 向敏, 等. 某医院实施分级诊疗及双向转诊工作的体会与思考[J]. 中国医药指南, 2020, 18(18): 292-294. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK202018140.htm

    FU Z T, YAO W, XIANG, M, et al. Experience and reflection on the implementation of graded diagnosis and treatment and two-way referral in a hospital[J]. Guide of China Medicine, 2020, 18(18): 292-294. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK202018140.htm
    [17]
    蒋茜璇, 赵梅, 苏丹, 等. 合肥市社区居民对家庭医生制服务需求情况调查[J]. 安徽医学, 2017, 38(4): 486-489. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX201704030.htm

    JIANG Q X, ZHAO M, SU D, et al. Study on demand of community residents in Hefei for family doctor system service[J]. Anhui Medical Journal, 2017, 38(4): 486-489. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX201704030.htm
    [18]
    蒋丹玛, 陈碧华. 社区卫生服务机构与市区医院双向转诊管理制度实施的影响因素及合理化建议探讨[J]. 中国社区医师, 2019, 35(14): 188, 191. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS201914128.htm

    JIANG D M, CHEN B H. Discussion on the influencing factors and rationalization suggestions of the implementation of two-way referral management system between community health service institutions and urban hospitals[J]. Chinese Community Doctors, 2019, 35(14): 188, 191. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS201914128.htm
    [19]
    刘蓉. 新形势下双向转诊存在的问题及对策[J]. 医药前沿, 2019, 22(9): 246-247. https://www.cnki.com.cn/Article/CJFDTOTAL-SZZZ201404054.htm

    LIU R. Problems and countermeasures of two-way referral under new situation[J]. Yiyao Qianyan, 2019, 22(9): 246-247. https://www.cnki.com.cn/Article/CJFDTOTAL-SZZZ201404054.htm
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