本文選題：分級診療 + 系統(tǒng)評價　； 參考：《中國藥房》2017年34期

【摘要】：目的:系統(tǒng)評價國內分級診療現狀和面臨的問題,為國家衛(wèi)生決策提供參考。方法:以"分級診療"為關鍵詞檢索自各數據庫建庫起至2016年6月發(fā)表于中國知網、維普、萬方數據庫中的相關文獻,全面收集國內分級診療現狀的研究,從結局評價指標和面臨的問題兩方面進行系統(tǒng)評價。結果:共納入23項研究,其中18項為調查研究,3項為回顧性/調查研究,1項為回顧性研究,1項為隨機對照研究。結局評價指標中,9項研究以對分級診療的認知度、知曉度為評價指標,結果表明群眾認知度、知曉度不高,而醫(yī)護人員較高;7項研究以實施現狀為評價指標,結果表明實施現狀總體不理想;3項研究以人力資源為評價指標,結果表明基礎醫(yī)療機構衛(wèi)生人力資源水平不理想;3項研究以滿意度為評價指標,結果表明群眾滿意度較高;2項研究以實施模式為評價指標,結果表明目前的模式較好地促進了分級診療的施行;2項研究以費用為評價指標,結果表明個人支付費用較高。面臨的問題中,19項研究提出分級診療相關制度不完善,16項研究提出基層醫(yī)療機構水平不足,7項研究提出患者缺乏基層就醫(yī)習慣,7項研究提出宣傳不足。結論:目前國內分級診療的現狀還不理想,還面臨很多問題。通過提高基層醫(yī)療水平、完善分級診療制度、提高患者基層就醫(yī)意愿、加大分級診療的宣傳,可深入推進分級診療的實施,為衛(wèi)生決策提供客觀和有價值的參考。
[Abstract]:Objective: to evaluate the status quo and problems of classified diagnosis and treatment in China, and to provide reference for national health decision making. Methods: the key words of "classified diagnosis and treatment" were retrieved from the database from the establishment of each database to June 2016, published in the database of China's Zhiwang, Weipu, Wanfang, and collected the current status of classified diagnosis and treatment in China. Systematic evaluation is carried out from two aspects: the outcome evaluation index and the problems faced. Results: a total of 23 studies were included, of which 18 were investigated and 3 were reviewed / investigated. One was a retrospective study and one was a randomized controlled study. Among the outcome evaluation indexes, 9 studies were based on the degree of recognition and awareness of graded diagnosis and treatment. The results showed that the awareness of the masses was not high, while the implementation of the current situation was regarded as the evaluation index in 7 studies. The results showed that the overall implementation of three studies on human resources as an evaluation index, the results show that the basic medical institutions health human resources level is not ideal. The results showed that two studies with high mass satisfaction took the implementation model as the evaluation index. The results showed that the current model promoted the implementation of graded diagnosis and treatment better and two studies took the cost as the evaluation index. The results showed that the personal payment cost was higher. Among the problems faced, 19 studies suggest that the related system of grading diagnosis and treatment is not perfect and 16 studies suggest that the level of primary medical institutions is insufficient. 7 studies suggest that patients lack the habit of primary medical treatment. 7 studies put forward insufficient publicity. Conclusion: the present situation of classified diagnosis and treatment in China is not ideal, and many problems are faced. By improving the level of primary medical treatment, perfecting the system of graded diagnosis and treatment, improving the willingness of patients to seek medical treatment at the grass-roots level, and increasing the propaganda of graded diagnosis and treatment, the implementation of graded diagnosis and treatment can be promoted deeply, and the objective and valuable reference for health decision-making can be provided.
【作者單位】： 四川大學華西第二醫(yī)院藥學部;四川大學華西第二醫(yī)院循證藥學中心;出生缺陷與婦兒疾病教育部重點實驗室;
【基金】：2015年中國衛(wèi)生思想政治工作促進會城市醫(yī)院分會分級診療相關課題
【分類號】：R197.1

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本文編號：1965534