摘要
在调查病人和医生的基础上,比较分析病人常就诊机构的分布,病人和医生对社区首诊制的看法及潜在的可分流病人数量。结果表明:社区机构病人的常就诊机构为社区机构,医院病人常就诊机构为医院;目前尚有近50.0%的病人不同意社区首诊制,主要是医院病人;医院医生多认为社区首诊不必要和不可行,而社区医生则认为必要和可行;在二级和三级医院,有30.2%至55.8%的病人可分流至社区机构。这说明社区首诊制的实施目前尚面临多方面挑战。
The paper was to understand the distribution of patients＇ usual visiting institutions, patients＇ and doctors＇ view on community medical doctors as gate-keepers, and quantity of potential patients flow. Results showed： patients from community health center （CHS） often see doctors of CHS, and hospital patients often see doctors of hospitals. Now almost 50.0% of patients disagree community medical doctors as Gate-keepers, hospital doctors disagree and the community doctors agree with this. For secondary and tertiary hospitals, there are about 30.2% to 55.8% of outpatients transferred to CHS. The conclusion can be drawn the measurement of community medical doctors as Gate-keepers now still faces many challenges.
出处
《中国卫生经济》
2007年第5期19-21,共3页
Chinese Health Economics
关键词
社区首诊制
可行性
community doctor as gate-keeper , feasibility
