摘要
目的通过分析分级诊疗制度实施后患者流向情况和医院的疾病谱变化,确定病种的优化分类对临床分级诊疗的意义和作用。方法选择2017年11月—2018年11月的不同病种患者1 000例,采用分级治疗制度,分析不同病种的分级诊疗情况及患者的治疗效果和满意度。结果 1 000例患者700例痊愈,280例有效,20例无效,效果为98.0%。其他医疗机构转入88人,转上级医疗机构500人,转下级医疗机构17人。1 000例患者有600例非常满意,380例一般满意,20例不满意,满意度为98.0%。结论不同病种采用分级诊疗制度,有助于减轻治疗难度,并增强整体的工作效果,推广优势很好。基于病种的分级诊疗制度,可优化住院患者在不同级别医疗机构的分布,有利于分级诊疗秩序的建立。
Objective To explore the effect of optimized classification of diseases on the clinical hierarchical medical system through analyzing the patient flow and changes of disease spectrum after enforcement of the system. Methods A total of 1 000 patients with different diseases were admitted and treated in our hospital according to the system from November 2017 to November 2018. The performance of hierarchical diagnosis and treatment was assessed and the recovery and satisfaction of patients were analyzed after implementing the system. Results Seven hundred patients of them were cured,280 were treated effectively and 20 ineffectively,with a total effectiveness rate of 98. 0%. Eighty-eight patients were transferred from other medical institutions,500 from our hospital to superior medical institutions and 17 to the inferior. Among the 1 000 patients,600 were very satisfied,380 generally satisfied,and 20 not satisfied,with a satisfaction rate of 98. 0%. Conclusion Regarding diverse diseases,the hierarchical medical system is effective in reducing the treatment difficulty and enhance the overall work efficiency. Meanwhile,the system is beneficial for optimization of distribution of inpatients in medical institutions at different levels.
作者
温慧兰
卢耀能
罗以娟
谭永恒
WEN Huilan;LU Yaoneng;LUO Yijuan;TAN Yongheng(People′s Hospital of Xinhui District,Jiangmen 529100,China;不详)
出处
《现代医院》
2020年第11期1593-1596,共4页
Modern Hospitals
基金
江门市科技计划项目(2018H004)。
关键词
病种
分级诊疗制度
作用机制
Diseases
Hierarchical medical system
Mechanism