Analysis of downward referral willingness and its influencing factors among recovery phase hospitalized patients in tertiary hospitals

Authors

  • Yang Chen Dalian Health Development Center, Dalian 116011, Liaoning Province, China
  • Xiaowen Wang Dalian Health Development Center, Dalian 116011, Liaoning Province, China
  • Xiangjin Kong College of Humanities and Social Sciences, Dalian Medical University, Dalian 116044, Liaoning Province, China
  • Lu Zhao College of Humanities and Social Sciences, Dalian Medical University, Dalian 116044, Liaoning Province, China
  • Yumeng Gao College of Humanities and Social Sciences, Dalian Medical University, Dalian 116044, Liaoning Province, China
  • Xinyuan Xu College of Humanities and Social Sciences, Dalian Medical University, Dalian 116044, Liaoning Province, China

DOI:

https://doi.org/10.54844/hamp.2022.0008

Keywords:

tertiary hospital, health care-seeking willingness, two-way referral, patients

Abstract

Objectives: This study aimed to understand the willingness of hospitalized patients in stable conditions and in the recovery phase in tertiary hospitals toward downward referral (DR) and to explore its influencing factors. Methods: A questionnaire survey was conducted among hospitalized patients from five tertiary general hospitals. Data were analyzed and processed using SPSS17.0 software. Results: The rate of knowledge regarding the hierarchical medical system and DR willingness were low. Per capital household annual income, the form of medical insurance, and the medical treatment decision-making process are the main factors influencing patients’ willingness. Conclusion: To improve patients’ DR willingness, it is necessary to further strengthen public understanding of the hierarchical medical system and to build the service capabilities of primary medical institutions.

References

Wang Y, Xiao YL, Cao Y, Zhan TH. [The strategy of promoting the hierarchical medical system under the regional medical association

model. ]Jiangsu Healthcare Admin 2016;27:24–26.

Shen Y, Huang WR, Ji SS, Yu J, Li MJ. [Systematic evaluation of current situation, effects and problems of two-way referral in 1997-2017

China.] J Chin General Pract 2018;21:3604–3610.

Zhang T, Chen L, Lin W. [Development Status and Countermeasures of Primary Medical Institutions in Guangdong Province.] Soft Sci

Health 2018;32:16–22.

Liu XF, Yang Z, Dai AQ, Li JM, Zhang JW. [The patient awareness of two-way referral under the cooperation of urban hospitals and its

causes.] Chongqing Med J 2015;44:2662–2663.

Kong X. [Analysis of the problems and obstacles in the establishment of hierarchical medical treatment system from the perspective

of medical resource allocation.] Med Phil 2018;39:66–69.

Zhou R, Cui F, Yao W. [Willingness for downward referral among patients with chronic diseases in Guangzhou and its influencing factors.] Med Society 2019;32:26–30.

Gao K, Gan X. [Behavior decision of two-way referral amount patients in China and its influencing factors.] Chin General Pract

;18:3393–3395.

Wang HF, Liu F, Liao XC. [Adapt to the new pattern of the hierarchical medical system and innovate medical insurance payment methods.] Chin Med Insurance 2015;6:12–15.

Jiang Y, Yang J. [The realization of the hierarchical medical system optimization based on the influencing factors of medical treatment

selection.] Chin Hosp 2015;19:15–17.

Li Q, Zhou M, Wang Y, Tian LQ. [Analysis on patient medical treatment selection and patients’ personal factors after the implementation of the hierarchical medical system.] Modern Hosp Management 2019;17:39–42.

Published

2022-07-25

Issue

Section

Original Articles

Downloads

Download data is not yet available.