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探讨本地区新农合患者向上级医院转诊的原因,为相关管理部门提供决策依据。方法:设计转诊原因的专项问卷一份,对2013年和2014年暑假期间(7月10日-8月25日)转入本院或由本院转向外地医院的参保患者或家属进行问卷调查,并辅以相关人员的访谈,发放问卷1618份,回收问卷1376份。结果:转诊的原因中,下级医院技术水平不高的占81.6%,下级医院设备条件不足的占68.2%,医学专家人才不足的占66.9%;而认为病情需要的仅占52.2%。结论:下级医院医疗技术水平、设备条件、人才队伍不足是本地区新农合患者上转的主要原因,三级转诊制度应规范执行。
To explore the reasons for the referral of new rural cooperative medical patients to superior hospitals in the region and to provide relevant decision-making basis for management. Methods: A questionnaire was designed to identify the reasons for the referral. Questionnaires were also made on the insured patients or relatives transferred to this hospital from 2013 to 2014 (July 10 to August 25) or from the hospital to overseas hospitals during the summer of 2013 and 2014 Survey, supplemented by interviews with relevant personnel, issued questionnaires 1618, 1376 questionnaires were recycled. Results: Among the reasons for the referral, 81.6% were underrepresented in inferior hospitals, 68.2% were underdeveloped in inferior hospitals, 66.9% were underrepresented in medical experts, and only 52.2% were considered to be in need of illness. Conclusion: The medical technical level, equipment conditions and shortage of qualified personnel in the lower level hospitals are the main reasons for the upward transfer of new rural cooperative medical patients in this area. The third level referral system should be standardized and implemented.