劳务工患者双向转诊调查分析

A Study on Migrant Worker Patients Dual Referral

目的开展劳务工患者双向转诊的实证研究,获取有关证据,为医疗保险和医院管理提供决策证据。方法分析在深圳市公明医院及其社康中心(站)就诊的145025例劳务工及一般患者。结果深圳市公明街道劳务工就诊人次占当地居民就诊人次比例为20.32%,劳务工患者转诊率为16.03%,远高于社区一般病人转诊率,其中,上转率为15.80%,下转率为0.24%。结论劳务工医保下双向转诊开展较好,主要得益于当地政府出台的劳务工医保政策和医疗服务供方出台的相关规定以及高执行率。

OBJECTIVE To carry out an empirical study on dual referral of migrant worker patients, to provide evidence for decisionmaking of medical insurance and hospital management. METHODS Analyze the 145 025 migrant worker patients and normal patients for treatment services in Shenzhen Gongming People＇s Hospital and Community Health Service Centers（stations）. RESULTS The proportion of migrant worker patient attendances in all attendances is 20.32% in Shenzhen Gongming Street. The referral rate of migrant worker patients was 16.03%, much higher than normal patients. The referral rate to higher was 15.8% and to lower was 0.24%. The dual referral went on well under the labor medicare mainly because of the medicare labor policy issued by the local government and the relevant criterions issued by the health services supplier, as well as high implementation efficiency.