Dissertation > Excellent graduate degree dissertation topics show

Two-way referral system effectiveness and feasibility studies

Author: HuZuoLei
Tutor: WangJiaZuo
School: Guangzhou Medical College
Course: Health Toxicology
Keywords: Two-way referral Effectiveness Feasibility
CLC: R197.1
Type: Master's thesis
Year: 2010
Downloads: 228
Quote: 0
Read: Download Dissertation

Abstract


May 12, 2006, the Shenzhen municipal government officially promulgated the \type, followed by the Shenzhen City to carry out two-way referral basis. This study selected as a two-way referral Bao'an District, Shenzhen, one of the pilot operating unit, Guanlan People's Hospital, assessing their way referral system implementation results. Objective: To compare Mission Hospital, two-way referral pilot run before and after the operation related referral data, patient referral system for two-way awareness and satisfaction and medical staff two-way referral \analysis of the operation of two-way referral Mission Hospital Status and Assessment Mission Hospital to implement two-way referral system measures the effectiveness and feasibility; investigate two-way referral system on today's primary health care paradigm shift in the role; study the operation of two-way referral mechanism, safeguard mechanisms, referral criteria and referral procedures, so as to improve the two-way referral system, the development of relevant health insurance policy, to promote community first diagnosis system reasonable suggestions. Methods: Pilot at Mission Hospital, two-way referral hospitals collected before running work carried out with each month of community health service center referral number of outpatient volume and other relevant data; different medical institutions and health care services in various medical institutions and patients baseline surveys, accompanied by family members. For the baseline survey results with the Mission Hospital to develop two-way referral interventions; interventions implemented three months after the operation on the implementation of two-way referral Mission Hospital performance evaluation, through comparative data analysis, evaluation Guanlan way referral hospitals run effectiveness of interventions and feasibility. Results: From July 2008 to February 2009, the community health service centers turn on the number of patients to hospitals accounted for the proportion of the month the number of visits and hospital to the community health service center next turn patients accounted for the proportion of the monthly increase in the number of visits that month, February 2009 rpm on community health center patient ratio than in July 2008 increased by 2.82%, the hospital to the community health centers under the transfer ratio of the number of patients increased by 7.39%. 2 turn, causes the next turn constitute requirements consistent with referral guidelines. 3-way referral system for saving health services and treatment time target medical costs have a positive effect 4. Health services for two-way referral system objects satisfaction increased by 8.3%. 5-way referral health services for the process object satisfaction rose 9.5%. Six medical staff awareness of the concept of two-way referral rose 4.9%. 7 medical staff need to carry out two-way referral cognitive rose 5.8%; way referral system for the hospital the feasibility of implementing cognitive rose 2.5 percent; way referral hospital on the current implementation of the system of cognitive rationality increased by 6.9%; select the current two-way referral hospital unobstructed corresponding increase in the proportion of 14.9 percent; choose their own way referral system is conducive to improve the operational capacity has risen by 5.0%; choose way referral system will help strengthen specialist doctors and general practitioners has risen contact 8.3%; select the current Mission to carry out two-way referral hospital overall effect of experimental work up a good proportion of 18.9%. Conclusion: Mission Hospital has begun running two-way referral systematic, standardized, Shenzhen, community health management model, community first diagnosis system, medical insurance policies, Mission Hospital original way referral guide, two-way referral information platform for national provide reference to carry out two-way referral experience.

Related Dissertations

  1. The Community First-treatment and Two-way Referral Operating Mechanism of Exploration in Nanan District of Chongqing,R197.1
  2. Assessment of 2009 A(H1N1) Influenza Vaccine Effectiveness Based on Influenza Sentinel Surveillance,R186
  3. Cross、 Integration and Innovation,J52
  4. Effectiveness of Physical Education,G807.4
  5. The Feasibility Study and Empirical Analysis of Conducting Rural Banks by State-owned Commercial Banks,F224
  6. The Establishment and Effectiveness of Financial Risk Assessment Index System of Listed Companies Based on VaR,F832.51;F224
  7. Feasibility Studies on Setting Up Boxing Optional Course in Physical Education of Regular Institutions of Higher Educat ion in Harbin,G886.1
  8. A Research on the Feeling of Self-effectiveness and Contest Measures of Basketball Players,G841
  9. The Analects New Era of China’s Ideological and Political Education of the Effectiveness,G641
  10. Under the New Curriculum Idea of 3 Physics Effective Operations and Practices Research,G633.7
  11. The Legal Effect of the Articles of Association of the Company in This Paper,D922.291.91
  12. Research on the Effective Implementation of the University-graduate "Village Officials"’ Policy in China,D422.6
  13. The Feasibility Study and Economic Evaluation of Hemp Fabric Senior Production Line,TS128
  14. Pragmatic administrative leader effectiveness analysis,C933
  15. Study on Related Issues of Establishing China-South Korea Bilateral-FTA,F752.7
  16. The Feasibility Analysis of Xingkai National Geological Park Apply for the World Natural and Cultural Heritage,F592.7
  17. Land Suitability Evaluation and Cost-effectiveness Analysis of Reclamation of Silica Sand Mine,F301
  18. The Financing Research of Thermoeletric Generator Project (2x30 Million Kilowatts) in Datang LuBei Power Generation Co-operation,F426.61
  19. Original Animation to Introduce "Comprehensive·Explore" the Practice of Learning Areas,J954
  20. On the Feasibility of Differentiating English Teaching of Junior High School,G633.41
  21. Experiment on Process-Genre Writing Approach in Senior High School English Language Teaching,G633.41

CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
© 2012 www.DissertationTopic.Net  Mobile