心脏康复转介服务

doi:10.3969/j.issn.1006-9771.2022.03.015

Abstract

Abstract: Objective To summarize the cardiac rehabilitation referral system.Methods The literatures about the construction of cardiac rehabilitation referral systems were retrieved from the databases of CNKI, Wanfang Date, PubMed and Web of Science, and cardiac rehabilitation websites.Results For some foreign countries, the referrals of cardiac rehabilitation mainly based on electronic medical record management system, internet platform, chronic care model, and hospitals and communities. For China, referral system is trying to build based on the medical conjoined system.Conclusion Referral, as the first step, plays an important role in participating in cardiac rehabilitation for patients. The cardiac rehabilitation referral system needs to be improved in China, referred the ways of developed countries.

Key words: cardiac rehabilitation, referral system, cardiovascular diseases, review

QIN Ning,SHEN Zhiying,SHI Shuangjiao,LI Xuhong,ZHONG Zhuqing. Cardiac rehabilitation referral service (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(3): 366-372.

Figures/Tables 1

References 47

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转介体系	代表国家	转介平台	主要转介时机	主要负责人	主要地点	主要优势	主要不足
基于EMR	美国	EMR	住院早期、门诊就诊	医疗保健者、专职联络人员	门诊心脏康复中心	实现标准化、自动化转介,利于跟踪、随访患者康复情况	系统衔接障碍、数据安全隐患、转介后注册率低
基于互联网平台	英国、澳大利亚	在线心脏康复注册平台、互联网信息门户	心脏事件发生后3 d内	初级保健团队、综合医院医务人员	社区康复中心、家庭	提高心脏康复普及率、转介率和参与率	缺乏标准化转介流程
基于CCM	加拿大	医疗保健系统	CCM	家庭医生、医疗专家、心脏康复团队	心脏康复中心	医患面对面沟通、服务满意度高,转介后依从性较好	转介效率不足
以医院和社区为主	伊朗、印度、印尼	暂无	暂无	外科医生、心脏病专家、住院心脏康复小组	医院、社区、家庭	医疗资源不充足情况下最大限度满足患者的服务需求	心脏康复团队服务质量参差不齐

Cardiac rehabilitation referral service (review)

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