深圳新型社区首诊制实施现况分析

Analysis on the Status of the First Treatment in the Shenzhen Community

目的:通过对深圳市社区卫生服务机构转诊数据的观察和测量,了解该地区全科医生转诊行为的变化,分析社区首诊制的形成情况。方法:对2002—2006年5年间全科医生不间断的转诊观测数据(5118例),采用了2005年前后的数据比较分析,寻找转诊行为的变化及原因。结果:在劳务工集中的社区,全科医生严格执行了逐级转诊和分诊,转诊的疾病类型以常见病为主,社区外滞留时间短,形成了社区首诊为特点的转诊制度,而非劳务工集中的社区尚未形成。结论:社区首诊制度的实施所影响的人群有待扩大。

Objective Observating and measuring the referral data of the Community Health Service,it is able to Understand the changes of General Pratice referral behavior and the status of the first treatment in Shenzhen, Methods Looking for the reasons of the referral behavior changes,the study analyse on the uninterrupted data （5 118 cases） of general practice referral in the five years between 2002--2006. Results In the community of Labor workers concentrated , General practices striretly enforce the first treatment,the types of referral diseases was mainly the common and stranded in hospitals was short,it was formed the first diagnosed referral systema in community, but it have not yet formed in non-labor wokers community. Conclusion It would like to be expanded for the crowd affected by the first treatment.