摘要目的 探索建立适合本地区外科手术患者的连贯式卫生服务体系以优化医疗资源.方法 采用量性-质性研究方法调查三甲医院与其区域协同医院的区域化网络卫生服务现状和需求,主要涉及双向转诊绿色通道、出院后随访、远程会诊、远程网络培训现状、需求及对实施区域化网络服务障碍的认识.结果 参加研究的医护人员表示,双向转诊的“下转上”实现难,且远程会诊和培训设施存在资金障碍,远程培训效果也具有不确定性.结论 三甲医院与其区域协同医院的区域化网络卫生服务还较薄弱,需加大力度发展区域化网络服务.

abstractsObjective To explore the establishment of the coherent health service system for patients undergoing surgery in this region to optimize health care resources.Methods Using the Quantitative-qualitative research to investigate the conditions and needs of the regional network of health service between the third-grade class-A hospital and its collaborative hospitals,and it is about two-way referral,the follow ups after discharge,remote consultation,the conditions and needs of the remote training and the knowledge to the obstacles of carrying out the regional network service.Results The doctors and nurses in the research said,it was difficult to achieve the up referral in two-way referral,and there was financing obstacles for remote consultation and training,furthermore,the effects of the remote training was uncertain.Conclusions The regional network of health service between the third-grade class-A hospital and its collaborative hospitals is still weak,and we need to intensify the development of the regional network service.