What Impact Does Behavior of Doctors and Patients on Service Integration of Multi-institutional Readmission cross Township—county Hospitals in Rural China

作者：Yan Zhang; Wenxi Tang; Liang Zhang

来源：International Journal of Integrated Care, 2016, 17(3): 53.

DOI：10.5334/ijic.3165

• multi-institutional readmission
• information transfer
• doctor behavior
• continuity
• integration

Background: With the change of rural residents’ disease spectrum and patients with chronic diseases boom, multi-institutional health service utilization of rural residents and the continuous service demands are growing sharply in rural China.Objective: Evaluate the service integration of multi-institutional readmission cross township—county hospitals (MRCTCH) in rural China, and figure out determines of service integration.Methods: This study featured 7 sample counties in rural China. Based on the database of the inpatients with New Rural Cooperative Medical System (NCMS), using Microsoft Office Excel 2010 programming technology, we selected 630 cases of medical records of MRCTCH from 2012 to 2013 in diseases of respiratory system and cerebrovascular system. 2 medical specialists evaluated the service integration of the MRCTCH by matched medical records.Results: The probability of referral hospital is nearly 60%, and the average hospitalization time intervals is 5.49 days for 630 MRCTCH, and 50% of the patien...

• 出版日期2016
• 单位中国药科大学; 华中科技大学