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

【摘要】：目的:系統(tǒng)評價(jià)國內(nèi)分級診療現(xiàn)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(guān)鍵詞檢索自各數(shù)據(jù)庫建庫起至2016年6月發(fā)表于中國知網(wǎng)、維普、萬方數(shù)據(jù)庫中的相關(guān)文獻(xiàn),全面收集國內(nèi)分級診療現(xiàn)狀的研究,從結(jié)局評價(jià)指標(biāo)和面臨的問題兩方面進(jìn)行系統(tǒng)評價(jià)。結(jié)果:共納入23項(xiàng)研究,其中18項(xiàng)為調(diào)查研究,3項(xiàng)為回顧性/調(diào)查研究,1項(xiàng)為回顧性研究,1項(xiàng)為隨機(jī)對照研究。結(jié)局評價(jià)指標(biāo)中,9項(xiàng)研究以對分級診療的認(rèn)知度、知曉度為評價(jià)指標(biāo),結(jié)果表明群眾認(rèn)知度、知曉度不高,而醫(yī)護(hù)人員較高;7項(xiàng)研究以實(shí)施現(xiàn)狀為評價(jià)指標(biāo),結(jié)果表明實(shí)施現(xiàn)狀總體不理想;3項(xiàng)研究以人力資源為評價(jià)指標(biāo),結(jié)果表明基礎(chǔ)醫(yī)療機(jī)構(gòu)衛(wèi)生人力資源水平不理想;3項(xiàng)研究以滿意度為評價(jià)指標(biāo),結(jié)果表明群眾滿意度較高;2項(xiàng)研究以實(shí)施模式為評價(jià)指標(biāo),結(jié)果表明目前的模式較好地促進(jìn)了分級診療的施行;2項(xiàng)研究以費(fèi)用為評價(jià)指標(biāo),結(jié)果表明個(gè)人支付費(fèi)用較高。面臨的問題中,19項(xiàng)研究提出分級診療相關(guān)制度不完善,16項(xiàng)研究提出基層醫(yī)療機(jī)構(gòu)水平不足,7項(xiàng)研究提出患者缺乏基層就醫(yī)習(xí)慣,7項(xiàng)研究提出宣傳不足。結(jié)論:目前國內(nèi)分級診療的現(xiàn)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(jìn)分級診療的實(shí)施,為衛(wèi)生決策提供客觀和有價(jià)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(xué)華西第二醫(yī)院藥學(xué)部;四川大學(xué)華西第二醫(yī)院循證藥學(xué)中心;出生缺陷與婦兒疾病教育部重點(diǎn)實(shí)驗(yàn)室;
【基金】：2015年中國衛(wèi)生思想政治工作促進(jìn)會城市醫(yī)院分會分級診療相關(guān)課題
【分類號】：R197.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 吳泰相,劉關(guān)鍵,李靜;影響系統(tǒng)評價(jià)質(zhì)量的主要因素淺析[J];中國循證醫(yī)學(xué)雜志;2005年01期

2 高晨光;馬寶英;高照艷;李樹森;向鴻梅;;醫(yī)院信息系統(tǒng)評價(jià)分類及方法[J];醫(yī)學(xué)信息學(xué)雜志;2011年04期

3 衛(wèi)茂玲;劉鳴;李靜;張鳴明;;中國循證醫(yī)學(xué)/Cochrane中心2006～2008年全國系統(tǒng)評價(jià)培訓(xùn)班學(xué)員問卷調(diào)查結(jié)果[J];中國循證醫(yī)學(xué)雜志;2009年02期

4 李雨t，

本文編號：1965534