【摘要】 目的　评价 2型糖尿病、高血压、脑卒中 (脑梗死) 和冠心病的社区卫生服务机构与三级医院专科之间双向转诊临床路径应用的院前时间。方法　选择非随机化对照临床试验来比较城市社区常见四种慢性病应用双向转诊临床路径者与未应用者的院前时间。结果　在符合各自统一的入院标准的情况下, 应用双向转诊路径者 (试验组 )的院前时间明显少于未应用双向转诊路径者 (对照组) (P<0. 05)。结论　在一定条件下, 社区卫生服务机构与三级医院专科之间实施 2型糖尿病、高血压、脑卒中和冠心病患者的双向转诊临床路径有利于节约这四种城市社区常见慢性病的院前时间。更多还原

【Abstract】 Objective Evaluating the prehospital time of dual referral clinical pathway for four kinds of common chronic diseases in urban communities.Methods A controlled non-randomized clinical test was used in evaluating length of prehospital of the application of dual referral clinical pathway for four kinds of common chronic diseases in urban communities.Results Under the same condition of admission of the prehospital time of application of dual referral clinical pathway group (trail group) is significantly less than that of no application of dual referral pathway(control group) (P<0 05).Conclusion Under some condition,application of dual referral clinical pathway for type 2 diabetes patients,hypertension patients,stoke or CHD patients between CHS and special medicine of class-three hospital is possible,which can save prehospital time of these four kinds of common chronic diseases in urban communities.更多还原