社区双向转诊模式的实施及护理体会

Discussion on the community two-way referral system

目的:探讨社区双向转诊模式的实施情况与护理体会。方法:对社区双向转诊模式实施前后的240例患者的转诊率及再入院率进行统计分析。根据分析结果,对双向转诊模式的进一步完善提出建议。结果:实施双向转诊护理后,患者的转诊率由干预前的30.8%(37/120)提高到68.3%(82/120),差异有统计学意义(P<0.01),再入院率也由干预前的63.7%降低到22.1%。结论:实行双向转诊,有利于医疗资源的合理利用,同时也有利于促进基层社区医院医疗卫生事业的发展。

Objective： To explore the implementation and nursing experience of community two-way referral system. Methods： The referral rate and readmission rates of 240 cases patients were analyzed and discussed before and after the community two-way referral system, then gave the advice according to the results. Results： The referral rate of the patients after the community two-way referral system was 68.3% （82/120）, which was higher than the rate before 30.8% （37/120）, there was a significant difference between them （P〈0.01）. The readmission rate also reduced after the community two-way referral system with it was from 63.7% to 22.1%. Conclusion： The performance of community two-way referral system is in favor of utilizing the medical resources reasonably. Meanwhile, it is benefit for the development of community hospital.