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目的 :通过借鉴英国大奥蒙德街儿童医院的儿科转诊模式,结合我国儿科分级诊疗体系建设中存在的问题,提出英国儿科转诊模式对完善我国儿科分级诊疗发展的启示经验。方法 :运用文献评阅、政策比较等方法,分析英国儿科转诊制度、转诊流程及转诊标准。结果 :英国儿科转诊制度严格,由家庭医生负责首诊,转诊流程规范,转诊标准明确。结论 :建议我国提高基层儿科诊治能力,使基层医疗机构与儿童专科医院各司其职,分工协作;明确转诊流程与转诊标准,确保医患双方遵照执行;医保制度强制约束,确保患者基层首诊,推进儿科分级诊疗顺利实施。
OBJECTIVE: By referring to the pediatric referral mode at Great Ormond Street Children’s Hospital in the United Kingdom and combining with the existing problems in the construction of pediatric grading system in our country, this paper puts forward the experience of pediatric referral mode in improving pediatric grading in China. Methods: Using the methods of literature review and policy comparison, the pediatric referral system, referral process and referral criteria were analyzed. Results: The UK pediatric referral system was strict. The family doctor was responsible for the first visit, the referral process was standardized, and the referral criteria were clear. Conclusions: It is suggested that China should improve primary pediatric diagnosis and treatment ability so that grass-roots medical institutions and children’s specialized hospitals can perform their duties and division of labor in coordination with each other. Clear referral procedures and referral criteria are followed to ensure compliance of both doctors and patients. Medicare system is constrained to ensure that patients’ First visit, promote the successful implementation of pediatric grading diagnosis and treatment.