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目的:对西宁市医疗卫生服务总院内双向转诊现状进行分析及对策探讨。方法:对2011年8月—2012年12月西宁市综合医院与基层医疗机构双向转诊情况进行分析。结果:双向转诊不通畅由基层医疗机构向综合医院上转的病人远远大于下转康复的病人数,形成“单向转诊”的现状。结论:双向转诊不通畅主要是与政策导向力度不够,医疗机构间的利益冲突、基层医疗机构职能不完善、全科医师业务水平不足、双向转诊机制不健全、缺乏有效的公共信息平台等因素有关。
Objective: To analyze and countermeasure the present situation of bidirectional referral in Xining Medical and General Hospital. Methods: The bi-directional referral of Xining General Hospital and primary health care institutions from August 2011 to December 2012 was analyzed. Results: The two-way referral was not smooth. Patients transferred from primary care institutions to general hospitals were much larger than the number of patients who were transferred to general hospitals, resulting in the status of “one-way referral.” Conclusion: The two-way referral is not smooth mainly due to lack of policy-oriented efforts, conflicts of interest among medical institutions, inadequate functions of grass-roots medical institutions, lack of general practitioner services, imperfect two-way referral mechanism and lack of effective public information platform Factors related.