成都市武侯区社区居民卫生服务需求及双向转诊现状

ANALYSIS OF COMMUNITY RESIDENT'S REQUIREMENT OF HEALTH SERVICE AND PRESENTS CONDITIONS OF TWO-WAY REFERRAL IN WUHOU, CHENGDU.

目的:了解成都市武侯区居民的卫生服务需求及双向转诊的运行现状,为建立合理的双向转诊制度以及促进双向转诊的开展提供科学依据。方法:采用分层随机抽样的方法抽取成都市武侯区4 5 0名社区居民作为调查对象,采用统一设计的问卷进行现况调查。结果:调查显示:76.3 %社区居民患病后首先都会选择去大中型医院就诊,主要原因是他们信任大中型医院的医疗技术水平;78.7%调查对象不了解社区卫生服务的内容;仅3 9.6 %的居民听说过双向转诊,而实施情况也不容乐观。结论:为保证双向转诊合理运行建议加强大中型医院和社区卫生服务中心的功能定位;基本医疗保险应向社区卫生服务倾斜;全面提高社区卫生服务中心的服务质量;加大对双向转诊的宣传教育。

Objective: To understand the residents' requirement of health service and the present conditions of Two-way Referral in Wuhou, Chengdu, and provide scientific foundations for establishment and development of the Two-way Referral. Methods: 450 community residents in Wuhou were selected by stratified random sampling and investigated through questionnaire. Results: Most of community residents went to big hospitals firstly when they suffered from an illness, because they trusted the big hospitals' skill-level. They knew little about the centre of community health service. A lot of residents even didn't hear about the Two-way Referral. In fact, the actualities of the Two-way Referral were serious and had many questions. Conclusion:In order to carry out the Two-way Referral, suggestions are made as following: align the functions of big hospitals, middle hospitals and the center of community health service, strengthen the basic medical insurance's support to the center of community health service, heighten the service quality of the center of community health service, and enlarge the dissemination and education for Two-way Referral.