北京市城区居民双向转诊现况调查

A survey on current status of two-way referral among residents in Beijing communities

2009年4月至7月以社区门诊发放调查问卷的形式,对北京市朝阳区高碑店社区446名和东城区部分社区977名居民进行双向转诊问卷调查.在2008年经高碑店和东城区社区卫生服务机构向上级医院转诊者分别有88人（19.7%）和80人（8.2%）,其中自己要求转诊者分别占30.7%（27人）和43.8%（35人）,通过相应转诊程序就诊于上级医院者分别占45.5%（40人）和45.0%（36人）;分别有57.6%（257/446）和59.4%（580/977）的居民认为自由转诊形式最好.

A cross-sectional survey on two-way referral using self-report questionnaire was conducted in a sample of 1423 residents living in 4 communities in Caobeidian area, Chaoyang District and 4 communities in Dongcheng District from April to July 2009. Among the residents who responded the questionnaire, 19.7% （88/446） from Gaobeidian and 8.2% （ 80/977 ） from Dongcheng District were referred to hospitals in 2008. And 30.7 % （27/88） in Gaobeidian and 43.8% （35/80） in Dongcheng District referred to hospital based on their own decision rather than doctors＇ recommendation; 45. 5% （40/ 88） in Gaobeidian and 45. 0% （36/80） in Dongcheng District of referrals were officiary processed by health institutions. The survey also showed that 57.6% and 59.4% of the respondents from the two districts preferred to free referral between community health service centers and hospitals.