Downward referral willingness of rehabilitation patients in an urban medical group and its influencing factors
LI Jingyu
LÜ Yun
XIN Yu
LI Shuo
PENG Sijing
MI Zhongxiang
Abstract：Objective To investigate the willingness of rehabilitation patients within an urban medical group to accept downward re-ferrals and analyze the influencing factors.
Methods From June to October,2023,a survey was conducted using a simple random sampling method among neuro-logical and orthopedic rehabilitation patients in hospitals within a specific urban medical group.The 2013 ver-sion of the Andersen Model was employed to construct a theoretical framework for the willingness of rehabilita-tion patients to accept downward referrals and influencing factors.Within this framework,a questionnaire was de-signed using a 5-point Likert scale,comprising three sections including personal characteristics,environmental features and healthcare service utilization choices,totaling 23 questions.A preliminary survey was conducted,and the questionnaire had underwent reliability and validity testing.
Results A total of 350 questionnaires were collected,with 314 valid questionnaires.The willingness of rehabilitation pa-tients to accept downward referrals was found to be associated with age,rehabilitation specialties,rehabilitation phases,previous experiences with downward referrals,awareness of and perceptions regarding bidirectional refer-ral policies,and understanding and opinions about the urban medical group(χ2>7.755,P<0.05).The primary influencing factors were rehabilitation specialties,rehabilitation phases,previous experiences with downward re-ferrals and perceptions of the necessity of bidirectional referral policies(P<0.05).
Conclusion Rehabilitation specialties,rehabilitation phases,previous experiences with downward referrals and percep-tions of the necessity of bidirectional referral policies are the primary factors that influenced the willingness of re-habilitation patients to accept downward referrals.We should formulate targeted and focused improvement mea-sures based on the specific circumstances and key influencing factors of rehabilitation patients within the urban medical group regarding their willingness to accept downward referrals.Continuously enhancing the proportion of patients willingness to accept downward referrals is essential for the effective implementation of bidirectional referral for rehabilitation patients.
Keywords：rehabilitationdownward referralinfluencing factorsurban medical group
Publication Date：2023-12-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 1481-1488 )