作　　者： ;

机构地区： 南方医科大学

出　　处： 《中国医院管理》 2019年第5期20-22,共3页

摘　　要： 目的分析不同等级医院影像学检查结果互认现状及其影响因素。方法2018年6-8月在广州市二级、三级医院实地调查,对数据进行逐步回归分析等分析。结果收集患方有效问卷321份,医方有效问卷143份,患方186例(57.95%)认为影像学检查结果互认程度一般,医方认为医疗检查结果互认开展情况一般占38.46%;三级、二级医院影像学重复检查发生率分别为60.00%和25.40%,差异有统计学意义(χ^2=17.068,P=0.000);不同医疗检查类别间影像学重复检查发生率差异有统计学意义(P=0.000);检查仪器差异、医生水平、医患关系、经济效益、法律责任、检查报告完整度和资料呈交途径都是医疗检查结果互认程度的影响因素(P<0.05)。结论影像学检查重复率较高,不同等级医院间医疗检查结果互认程度较低,需完善不同等级医院影像学医疗检查结果互认制度体系。 Objective To analyze the status of mutual recognition of imaging examination results in hospitals of different grades and its influencing factors.Methods A field survey was conducted from June to August,2018 in Guangzhou secondary and tertiary hospitals,and the data were analyzed by stepwise regression analysis.Results A total of 321 valid questionnaires were collected,and 143 valid questionnaires were obtained.186 patients(57.95%)believed that the results of mutual recognition of imaging examinations were general.The medical authorities considering general the mutual recognition of medical examinations accounted for 38.46%.The incidence of repeated imaging examinations in secondary hospitals was 60.00%and 25.40%,respectively,and the difference was statistically significant(χ^2=17.068,P=0.000).The difference in the incidence of imaging repeat examination among different medical examination categories was statistically significant(P=0.000).Examination instrument differences,doctors'level,doctor-patient relationship,economic benefits,legal responsibility,inspection report integrity and data submission are all factors influencing the mutual recognition of medical examination(P<0.05).Conclusion The repetition rate of imaging examination is high,and the mutual recognition of the results of hospitals at different levels is relatively low.It is necessary to improve the system of mutual recognition of imaging medical examinations in different levels of hospitals.

关 键 词： 影像学检查 医疗检查结果互认 影响因素

分 类 号： [R197.3]

领　　域： []