县域中医医共体背景下的双向转诊医疗模式研究——以膝骨关节炎为例

Research on the Bidirectional Referral Medical Model in the Context of County-Level Traditional Chinese Medicine Community—A Case Study of Knee Osteoarthritis

摘要: 目的：以膝骨关节炎为例探讨县域中医医共体背景下的双向转诊医疗模式对患者的影响。方法：通过前瞻性研究设计，选取100例严重膝骨关节炎患者，分别应用双向转诊模式和传统单向管理模式进行对比分析。结果：采用双向转诊模式的观察组在治疗效果、生活质量、医疗费用和时间成本等方面均优于对照组，差异具有统计学意义(P < 0.05)。结论：双向转诊模式有助于实现医疗服务的均等化和可及性，建议在更大范围内推广应用。

Abstract: Objective: To explore the impact of the bidirectional referral medical model on patients in the context of county-level Traditional Chinese Medicine communities, using knee osteoarthritis as an example. Methods: A prospective study design was employed, selecting 100 patients with severe knee osteoarthritis. The bidirectional referral model was compared with the traditional unidirectional management model for analysis. Results: The observation group using the bidirectional referral model showed superior outcomes in treatment effectiveness, quality of life, medical costs, and time costs compared to the control group, with statistically significant differences (P < 0.05). Conclusion: The bidirectional referral model contributes to the equalization and accessibility of medical services, and it is recommended for broader application.