目的通过调查慢性乙型肝炎（CHB）患者的相关诊疗知识及诊疗管理模式，分析患者对“诊疗在医院、管理在社区”新型诊疗管理模式的接受程度。方法依据CHB相关知识及诊疗管理模式的相关情况设计调查问卷，对2009年10月至2011年10月在首都医科大学附属北京地坛医院就诊的北京市朝阳区40个社区中的CHB患者进行问卷调查。结果本次调查共发放问卷1019份，回收994份（回收率97.55%）。患者对CHB相关知识知晓率较低；目前仅有22.94%的患者愿意选择社区医院就诊；若实行“诊疗在医院、管理在社区”医疗模式，76.86%患者愿意接受。结论 CHB患者可以接受“诊疗在医院、管理在社区”的新型诊疗管理模式。%Objective To understand the integrated case management model “diagnosis and treatment in hospital, management in community”, a survey on the knowledge of chronic hepatitis B and the integrated case management model was carried out. Methods According to the knowledge of chronic hepatitis B and the information about the integrated case management model, we designed a questionnaire. From October 2009 to October 2011, total of 1019 patients with chronic hepatitis B from 40 communities of Chaoyang District in Beijing were surveyed with self-designed questionnaire. Results Total of 1019 questionnaires were issued and 994 questionnaires were recovered. The findings showed that the patients knew little about chronic hepatitis B. Just 22.94% of all patients were willing to go to community hospitals at the beginning. If the integrated case management model would be implemented, about 76.86% of all patients would like to accept. Conclusions The integrated case management model “diagnosis and treatment in hospital, management in community” is acceptable by patients with chronic hepatitis B.
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