中文摘要：

2011年3—4月，笔者通过对大型综合医院医师、社区医疗机构医师、大型综合医院就诊的创面患者、社区医疗机构就诊的创面患者定性访谈，深入分析目前大型综合医院创面修复专科与社区医疗机构之间双向转诊现状及存在的问题。研究表明，目前创面疾病双向转诊过程中面临着“上转”和“下转”困难、双向转诊过程中政策不完善和操作规范不明确、大型综合医院和社区医疗机构间信息无法共享等问题。突破创面疾病双向转诊运行障碍的主要对策应包括：建立深层次的各级医院联动机制、建立药品对接通道、明确创面修复的双向转诊流程、建立医院间可共享的患者诊疗信息“数据库”等。

英文摘要：

This study analyzed the current situation and problems of two-way referral between wound healing department of general hospitals and community health service centers through stipulated interview with physicians in general hospitals and community heahh service centers, and patients visiting these organi- zations from March 2011 to April. It was found that the current two-way referral process for wound repair were facing a series of problems, including hospitals-transfer difficuhy, incomplete two-way referral policy and undefined practice protocol, information-sharing obstacle between general hospitals and community health service centers. The critical countermeasures for overcoming these obstacles in two-way referral of wound aihnents shall inelude eonstruetion of further linkage mechanism among all levels of hospitals, estab- lishment of the drug-obtaining mechanism, establishment of an explicit two-way referral process of wound re- pair, and establishment of a database of diagnosis and treatment information of patients that can be aecessed by doctors of different levels of hospitals, etc.