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目的:通过对我国东中西部7个县区2012—2013年两系统疾病两级住院病历及新农合资料研究,明确我国农村地区县域内乡县跨级再入院服务的水平和特征。方法:通过新农合信息匹配,筛选出2012—2013年间630套两系统疾病跨级住院病历,采用SPSS 13.0对数据进行分析。结果:57.46%的再入院患者通过转诊进入上级医疗机构;再入院原因为前期疾病未得到治愈的患者占所有再入院患者人数的80.79%;患者住院时间间隔均数为5.49天,当天转院的比重为44.13%。结论:转诊是患者再入院的主要方式,再入院的最主要原因为疾病在乡镇卫生院未能得到治愈,乡镇卫生院首诊不规范,存在病情延误的风险。
OBJECTIVE: To determine the level and characteristics of cross-level rehospital services in Neixiang County in counties and rural areas of China by studying the two-level inpatient medical record and new rural cooperative medical records of two system diseases in 7 counties of eastern, central and western regions of our country in 2012-2013. Methods: According to the NCMS information matching, 630 sets of cross-sectional inpatient records of two system diseases were screened from 2012 to 2013. SPSS 13.0 was used to analyze the data. Results: 57.46% of rehospitalized patients entered the higher medical institutions through referral. The reason of rehospitalization was that 80.79% of all the patients who had not been cured in the previous period were hospitalized. The average hospitalization time was 5.49 days. The proportion is 44.13%. Conclusion: Referral is the main way of hospital admission. The main reason of hospitalization is that the disease can not be cured in the township hospitals, and the first diagnosis of the township hospitals is not standardized, so there is a risk of illness delay.