| 摘要: |
| 目的
评价我国农村地区乡县跨级住院就诊服务的连续性。方法 结合ICD-10疾病编码分类筛选新农合数据，匹配出两系统疾病2012-2013年东中西部地区七县630套跨级住院病例，运用专家病历评判法评价两级就诊服务的连续性。结果 71.3%的乡级诊疗与县级诊疗方案一致，78.0%的乡级诊疗过程对疾病的转归起到积极作用，37.5%的乡级病历可以优化县级诊疗过程。结论 当前跨级住院患者的前次就诊经历利用不充分，乡级病历对于县级治疗具有积极意义，应加强乡级医疗机构诊疗能力，加强两级机构信息互联互通。 |
| 关键词: 农村地区 跨级住院 再住院 专家评判法 连续性 |
| DOI： |
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| 基金项目: |
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| The Continuity Evaluation of the Multi-institutional Readmission Patients’ Service Between Two Level Institutions in Rural Area |
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| Abstract: |
| Objective To evaluate the continuity of the MRCTCH in rural area in China. Methods Two systems’ 630 cases of medical records of the hospitals were selected from the NCMS database from 2012 to 2013 in the eastern, the middle and western part of our country by ICD-10. Evaluate the continuity of the MRCTCH by medical record evaluation. Results 71.3% of the treatment plan of the town level is the same as the county level’s. 78.0% of the town level treatment have the positive effect. 37.5% of the town level records can be optimized at the county level treatment. Conclusion It is inadequate of the utilization of previous treatment. It is positive of the town level records’ effect. We should strengthen the ability of township hospitals, and strengthen the information exchange between two level institutions. |
| Key words: rural area, multi-institutional readmission, readmission, expert evaluation method, continuity |
