社区2型糖尿病患者转诊模式探讨

Discussion of the referral mode of type 2 diabetic patients in the community

通过探讨家庭医生责任制模式下的双向转诊对社区2型糖尿病管理的交互作用,推广双向转诊,从而减轻综合性医院的医疗压力,合理分流患者,促进医疗卫生资源的优化配置。目前双向转诊运行不畅的重要原因仍以社区居民缺乏对社区卫生服务中心的认可及有效的监管机制为主。只有理顺上下级医疗机构的经济关系,明确各自职能,形成利益共同体,实现优势互补,并予以完善的社区服务医疗保险、收费制度等配套措施,加强设施、人员建设,才能真正实现"小病在社区,大病进医院"。

Through discussing the interaction of two-way referral on the management of type 2 diabetes in the community under the family doctor responsibility system mode, the two-way referral is promoted to reduce the medical service pressure of general hospitals, reasonably shunt patients, and promote the optimized allocation of health resources. Currently, the important reason why two-way referral runs sluggishly is that community residents still lack the recognition of the community health service center and the effective supervision mechanism mainly. It can be truly realized that the slight illness is treated in the community, and the serious illness in the hospital by rationalizing the economic relations between the upper and lower medical institutions, defining their respective functions, forming a community of interests, realizing the complementary advantages, and improving the supporting measures of the medical and health insurance, charging system and so on and strengthening the construction of facilities and personnel.