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目的通过对高危儿管理模式的研究,探讨提高高危儿随访率、转诊率的方法,从而为其提供多层次、多渠道综合干预措施,降低医疗风险。方法建立全区高危儿分级分片管理模式,按照管理制度和流程对高危儿进行建档、筛查、干预与随访。结果龙岗区实施高危几分级分片管理模式3年前、后比较高危儿随访率(χ~2=1 097.426,P<0.001),二级转诊率(χ~2=4487.744,P<0.001),三级转诊率(χ~2=174.773,P<0.001),高危儿随访次数构成比(χ~2=2 150.437,P<0.001)差异均有统计学意义。结论高危儿分级分片管理模式可以有效提高高危儿随访率,促进二、三级转诊,提高家长主动参与高危儿保健依从性,降低了医疗风险。
Objective To explore ways to improve the follow-up rate and referral rate of high-risk infants through the research on the management mode of high-risk infants, so as to provide multi-level and multi-channel comprehensive interventions to reduce the medical risks. Methods Establish high-risk children grading and fragmentation management model, according to the management system and process of high-risk infants filing, screening, intervention and follow-up. Results The follow-up rate of high-risk children in Longgang District was higher than that of the control group (χ ~ 2 = 1 097.426, P <0.001) three years ago. The secondary referral rate (χ ~ 2 = 4487.744, P <0.001) ), The third-level referral rate (χ ~ 2 = 174.773, P <0.001), and the difference in the number of follow-up of high-risk children (χ ~ 2 = 2 150.437, P <0.001) were statistically significant. Conclusion The management model of high-risk children grading and fragmentation can effectively improve the follow-up rate of high-risk children, promote secondary and tertiary referrals, improve parents’ initiative to participate in health compliance of high-risk infants and reduce medical risks.