[1]樊子暄赵金红张羽欧秦冰马晶孙静胡琳琳刘远立.我国三级公立医院出院患者随访工作现状调查[J].中国卫生质量管理,2021,28(11):011-14.[doi:10.13912/j.cnki.chqm.2021.28.11.03 ]
　FAN Zixuan,ZHAO Jinhong,ZHANG Yuou.Investigation on Follow-up Status of Discharged Patients in Tertiary Public Hospitals in China[J].Chinese Health Quality Management,2021,28(11):011-14.[doi:10.13912/j.cnki.chqm.2021.28.11.03 ]
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我国三级公立医院出院患者随访工作现状调查
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年11期
页码:
011-14
栏目:
特别关注
出版日期:
2021-11-28

文章信息/Info

Title:
Investigation on Follow-up Status of Discharged Patients in Tertiary Public Hospitals in China
作者:
樊子暄赵金红张羽欧秦冰马晶孙静胡琳琳刘远立
北京协和医学院卫生健康管理政策学院
Author(s):
FAN Zixuan; ZHAO Jinhong; ZHANG Yuou
School of Health Policy and Management, Peking Union Medical College
关键词:
三级公立医院; 出院患者; 随访; 科级随访; 院级随访; 服务质量
Keywords:
Tertiary Public Hospital;  Discharged Patients;  Follow-Up; Department-Level Follow-Up; Hospital-Level Follow-Up; Service Quality
分类号:
R197.323
DOI:
10.13912/j.cnki.chqm.2021.28.11.03
文献标志码:
A
摘要:
目的调查我国三级公立医院出院患者随访工作开展现状，旨在为提升服务质量提供参考。方法基于第5次“全国改善医疗服务行动第三方评估”项目，对全国173家三级公立医院出院患者随访工作开展情况进行调查。结果参与调查的173家三级公立医院中，仅3家未开展出院患者随访工作。有72家（42.35%）设置了院级随访中心，90家（52.94%）为科级随访，均由院内医务人员实施；3家（1.77%）设置院级随访中心，并由第三方机构负责随访。不同类型医院患者随访形式有差异（P=0.006），肿瘤医院以“设置院级随访中心医务人员随访”为主，其余类型医院以“科室层面随访”为主。结论医院对组织开展患者随访工作持积极态度，但部分医院并未认识到患者随访的必要性和重要性。建议进一步提高对出院患者随访工作重视程度，结合自身实际、随访目的及患者需求，灵活选择或组合随访人员，从院级和科级层面建立多学科患者随访团队，并严格监管。
Abstract:
ObjectiveTo investigate the status of follow-up work of discharged patients in tertiary public hospitals in China to improve the quality of service.MethodsBased on the fifth "National Third-Party Evaluation of Actions to Improve Medical Service", a survey was conducted on the follow-up work of discharged patients in 173 tertiary public hospitals in China.ResultsAmong the 173 tertiary public hospitals in the survey, only 3 hospitals did not carry out follow-up work for discharged patients. 72 (42.35%) had set up hospital-level follow-up centers, and 90 (52.94%) were department-level follow-up. All follow-ups were carried out by in-hospital medical staff. The follow-up in three hospitals (1.77%) were responsible by third-party institutions after setting up a hospital-level follow-up center. Different types of hospitals had different methods of patient follow-up (P=0.006). Cancer hospitals mainly carried out follow up by medical staff in hospital-level follow-up center, while other types of hospitals mainly carried out follow up by department level.Conclusion Hospitals had a positive attitude towards organizing and carrying out patient follow-up work, but some hospitals did not realize the necessity and importance of patient follow-up. It is recommended that tertiary public hospitals further increase the importance of follow-up work for discharged patients, combine their own actual situation, follow-up purpose and patient needs, flexibly select or combine follow-up personnel, establish a multidisciplinary patient follow-up team at the hospital and department level, carry out strict supervision.

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更新日期/Last Update: 2021-11-28