Objective To analyze the recent literatures of two - way referral in China and the breakthrough of research and development under the new situation,so as to provide basis for further improving China′s two - way referral. Methods Searching " two - way referral" in the commonly used Chinese databases and network resources,and finally 1241 journal articles,169 academic papers,23 conference papers were included. Evidence - based analysis was conducted to the time,type, publication,research direction,region and author′s specialty of the included literatures. Results Since 2000,there had been related literature researches on the two - way referral,after that the number of literature increased year by year steadily,and the main research type was review (874,70. 43%). The journals with top 4 number of literature publication were Chinese General Practice (278,22. 40%),China Hospital CEO (121,9. 75%), Chinese Health Economics (96,7. 74%), Chinese Primary Health Care (96,7. 74%). 704 (56. 72%)papers′ research direction was model mechanism exploration,221 (17. 81%)papers′ were the status and the countermeasures analysis. 307 (24. 74%)papers′ region was mainly in Shanghai, 276 (22. 24%)in Beijing. The professional direction of 718 (57. 86%)first authors concerning the included literature was public health. Conclusion Based on literature reading and review,the paper summarizes the problems in the two - way referral, puts forward that making breakthroughs in the development dilemma of two - way referral should combine with the current status of medical and health reform, and comprehensive reform practice should be carried out from the perspective of system engineering. Moreover,perfecting guidelines of the two - way referral of single disease;a patient - centered referral should be provided to improve the experience of patients.%目的 分析我国近年来的双向转诊文献资料,剖析新形势下研究发展的突破口,从而为我国进一步完善双向转诊提供依据.方法 以"双向转诊"为检索词对常用的中文数据库及网络资源进行全面检索,最终纳入期刊论文1241篇,学位论文169篇,会议论文23篇.对纳入文献进行时间、类型、出版物、研究方向、地区及作者专业等方面的循证分析.结果 自2000年开始有双向转诊相关文献研究,此后文献数量逐年稳步增长;研究类型主要为综述874篇(70.43%);刊载文献数量位于前4位的期刊为 《中国全科医学》278篇(22.40%),《中国医院院长》121篇(9.75%),《中国卫生经济》96篇(7.74%),《中国初级卫生保健》96篇(7.74%);研究方向主要为模式机制探索704篇(56.72%),现状和对策分析221篇(17.81%);地区主要为上海307篇(24.74%),北京276篇(22.24%);纳入文献的第一作者的专业方向主要为公共卫生专业718人(57.86%).结论 本研究通过文献评阅梳理出双向转诊存在的问题,提出突破双向转诊发展窘境应结合目前医疗卫生改革现状,从系统工程视角进行全方位改革实践;完善单病种双向转诊指南;以患者为中心,提高转诊患者感受度.
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