To Research On Operation Model Of Two-way Referral Between Large-scale Comprehensive Hospital And Community Health-service Center

Objective:Large-scale comprehensive hospitals and community health-service centers have been considerd as an important node in medical network. the operation of two-paths referral model between large-scale comprehensive hospital and community health-service center appeared the important paths towards to solve the problems in getting convenience and economical medical services of community residents. The issues of current status, key links, influence factors and construction resulted in key problems, need to which the two-paths referral management of model. The preliminary promotion of two-paths referral model initiated in Xinjiang in the current,and have not been found reference. Discussion of large general hospital and community health service center two-paths referral model, and analysis of the positive and reverse constraints, may offer the consultation reservoirs for effective utilizatim of medical resources and rational implementation of two-paths referral in Xinjiang. Methods:Following methods have been emplayed the including qualitative and quantitative revents by literature, field investigation, questionnaire, depth interview, case analysis and comparison study by utilizing the related theories of health economics, management and social science stakeholder theory, medical service may need behavior theory, incentive theory, and put forward the suggestion and strategy for implementation of two-paths referral model. Under the methods of literature analysis and questionnaire investigation, completed the investigation of referral status and patients, medical staff's cognitive and trust to two-paths referral model in a community health service center of a Urumqi medical insurance for urban residents patients. Results:Author of initial succeed implementa-tion of the effect of two-paths referral reason and various two-paths referral patterns of positive and reverse constraints, initial proved "321" mode of the dual referral system rationality and established a large general hospital and community health service center with "321" pattern in the dual referral system. Conclusion:Two-paths referral work has been still in the exploratory stage, the system was not perfect and realized the true sense of the two-paths referral depended on:1) The community health service organization construction; 2) All sectors of society, the media widely publicized; 3) Aatients raise the cultural level and excessive market values changes; 4) Improvment the clinical paths and the unified inspection standards; 5) Uniform two-paths referral criteria; 6) Resource of sharing the two-paths referral network platform; 7) Medical insurance policy support; 8) Optimization of two-paths referral process; 9) A reasonable compensation mechanism etc. "321" pattern would need government to produce the action of macroscopical adjusting control; building a hospital regional community of interests, eliminate the backward factors, to realize the real significance of the "Two-paths Referral Model", and achieve "win-win " result.