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目的了解北京市社区卫生服务机构的转诊工作现况和对转诊标准的需求情况。方法对来自各区县社区卫生服务机构的北京市全科医师骨干培训班的学员进行问卷调查。结果社区卫生服务机构的转诊工作现状不尽如人意,转诊率低,主要原因是上下转诊渠道不通畅、转上不转下和没有统一的转诊标准;全科医师对转诊标准的需求愿望强烈。结论应尽快制定社区卫生服务机构转诊指南和主要症状及疾病的转诊指征,完善双向转诊制度。
Objective To understand the current status of referral work and the demand for referral criteria of community health service agencies in Beijing. Methods A questionnaire survey was conducted among trainees of Beijing General Practitioners training courses from community health service agencies in all districts and counties. Results The status quo of community health service referral was not satisfactory. The low referral rate was mainly due to the unobstructed transfer channels from top to bottom and the non-diversion referral and non-uniform referral criteria. General practitioners’ referral criteria Strong desire for demand. Conclusion As soon as possible, guidelines for referral of community health service institutions and referral indications of the main symptoms and diseases should be formulated and the two-way referral system should be perfected.