Present Situation And Countermeasures Research On Two-way Referral In A Hospital Group Of Jilin Province

The shortage and imbalance of medical resources has seriously hindered the development of our health care. Focus on configuring and promoting legitimately of health resources, the party and government take a variety of positive reform measures. A clear establish is two-way referral system is importance and necessity. As a new form of hospital organization and a new management, Hospital Group can integrate effectively the advantages of hospital resources at different regional, levels and types. It also can improve the management capacity of lower-level hospitals and train hospital technicians. Meanwhile, establishing effective two-way referral mechanisms within the group is to regulate the rational triage of patients, to optimize health resources, to improve efficiency and quality of medical services, so that medical resources can be reasonable, use adequately and reduce health care costs of patients. It effectively mitigates the issue that medical treatment is difficult and expensive.This topic is mainly to study the two-way referral system of hospital group, a new model of regional medical services. Through investigating to medical staff and patients inside and outside the hospital group on awareness and present situation of hospital group and two-way referral, the topic analyze the problems of hospital group and two-way referral system; and put forward solutions and prevention mechanisms. The beginning of papers include research background and significance, hospital groups, two-way referral. The development history and the current research situation of hospital groups and two-way referral are introducted in detail. The data of this thesis is based on the design of technical routes and is investigated through the questionnaire. Four hospitals were selected from inside and outside of hospital group. The awareness level of the hospital group, two-way referral cognitive Level and the implementation of two-way referral system is investigated to the hospital staff and patients groups both inside and outside the hospital group. Through the literature induction, empirical analysis, statistical analysis, this part elaborate shortcomings of two-way referral system in the hospital group. By analyzing to the profile of A hospital Group of Jilin Province, the statistics on hospital group cognition, the cognition of two-way referral system and the implementation of two-way referral system in medical institutions within and outside the hospital group,we get the result. With the status and findings of A hospital group in Jilin Province, this part analysis further the development of hospital group and the problem of two-way referral system in the hospital group. First, health care workers and patients have low level of understanding to the hospital group and two-way referral; Secondly, organization and operation mode is imperfect, hindering the development of the hospital group. Thirdly, the hospital group maintain the original form of management. The management is not standardized and uniform; Fourthly, referral criteria are not established, referral process is imperfect and permission is complex, the patient information flow is not smooth; fifthly, the different of medical skill levels and the lack of health care support system lead to patients do not choose the members of the Group hospitals.The corresponding countermeasures and suggestions are proposed to the analysis results and the problems, including five areas:expand advocacy, rais awareness; improve the organizational structure, optimal operation mode; separat management from operation, introduct corporate management, control operating costs; develope referral criteria, improve the referral process, establish the patient referral information platform; increase the level of medical technology, and guide patients to choose the members of the hospital within the group.