The Cooperative Study On Implementation Of Two-way Referral System For Community Health Service In ChangChun City

Study the purpose:It is the summary that much countries' hygiene industry developed successful experience to develop two-way referral system, it is focal point of health service reform and development too. Implement the two-way referral system of changing the place of examination and optimize the resource distribution of the hygiene, reduce the hospitalization cost, regulate patient's rational flow, solve the masses progressively the question that " see the doctor expensivly , difficult to see the doctor " have far-reaching meanings. A lot of areas in our country have launched the try in this respect, set up various kinds of modes of referral , make some effects. Community's hygiene services of Changchun belong to arranging first the whole country , has already set up the two-way referral system tentatively, but the implementing effect is unsatisfactory. In order to promote community's hygiene, promote patients to flow rationally among the medical organizations, it is necessary to set up and perfect the two-way referral system. This subject will study the current situation two-way referral of community's hygiene service development of Changchun, to implementing the purpose that medical workers and patients think the two-way referral system, the existing problem is investigated and analysed , study feasibility that two-way referral system develop, find out the method of solving the problem, explore that sets up the normal two-way referral system . Offer reference for Changchun and even the whole province community's hygiene services sustainable development.The materials and method:1, research approach including questionnaire investigation , personal interview .Investigating object: Adopt layer of sampling methods, carry on questionnaire investigation face-to-face to hygiene instructing center , the hygiene service centre of 23 communities , hygiene service station of 111 communities of 8 communities of 5 districts in the whole city, it is as the subject of investigating to choose medicine , management , administrative staff and patient of the hospital and community hygiene service organization. The questionnaire design by oneself, medical worker and patient adopt different questionnaire.2, investigate the content: Current situation that community's hygiene of Changchun city serve (organization structuring situation, medical workers's structure etc.), the situation of two-way referral of community health service in...