老年患者双向转诊意愿及其影响因素研究

Study on the willingness of dual referral of elderly patients and its influencing factors

目的了解老年患者双向转诊意愿并探讨其影响因素。方法采用便利抽样法选取大连市某三级甲等医院300例老年患者进行调查,使用自行设计的问卷进行研究,问卷的主要内容包括老年患者基本情况、对双向转诊的认知和态度及转诊意愿。结果共发放问卷300份,回收有效问卷278份,有效回收率为92.7%。在278例老年患者双向转诊知晓度方面,52例(18.7%)比较了解,77例(27.7%)部分了解,149例(53.6%)不了解。同时,愿意转诊的患者有153例(55.0%),不愿意转诊患者有125例(45.0%)。单因素分析结果显示,年龄、文化程度、平均月收入、医保情况、是否为空巢老人、医护人员是否详细介绍过双向转诊、是否感知双向转诊能够更有利于疾病的治疗、双向转诊是否流程清晰、是否担心双向转诊影响治疗的连贯性等方面比较,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,年龄、文化程度、医保情况、医生是否详细介绍过双向转诊、是否双向转诊流程清晰是老年患者接受双向转诊的影响因素(P<0.05)。结论老年患者双向转诊意愿较低,可详细介绍双向转诊模式,并制订清晰的转诊流程。

Objective To study the willingness of dual referral of elderly patients and discuss its influencing factors.Methods By convenience sampling method,elderly patients were selected to fill out the questionnaire,including general information,cognition,attitude and willing.Results A total of 300 questionnaires were filled out,while 278 questionnaires(92.7%)were collected.Of the 278 elderly patients,52 patients(18.7%)knew the dual referral very well,77 patients(27.7%)knew part of the dual referral,149 patients(53.6%)knew nothing.And 153 cases(55.04%)were willing to accept dual referral.Univariate analysis showed that there were statistically significant differences in age,educational level,average monthly income,medical insurance and whether absent parent,whether medical clerk introduce dual referral,whether know dual referral is better for treatment,whether dual referral process is clear and whether worried about the treatment consistency(P<0.05).Logistic regression analysis showed that age,educational level,medical insurance and whether medical clerk introduce dual referral and whether dual referral process is clear were the influencing factors of the willingness of dual referral of elderly patients(P<0.05).Conclusion Elderly patients′dual referral willingness is lower,dual referral process should be made and introduced to them clearly.