关键词: 高血压, 分级诊疗, 病人转诊, 转诊标准, 指南

Abstract: Objective　To study the research status of hypertension bidirectional referral criteria in China.Methods　From June 20th to 30th，2017，we searched CNKI and Wanfang Data Knowledge Service Platform，and other electronic databases and websites for documents about hypertension bidirectional referral criteria in China.The included documents were divided to guidelines and research articles.We compared the guidelines by time of publishing for exploring the development of hypertension referral criteria in guidelines，and performed a summary analysis of the hypertension referral criteria in articles for estimating the application of such criteria.Results　A total of three guidelines and eight articles were included.The three guidelines are 2009 Guidelines for Primary Prevention and Management of Hypertension in China（2009 guidelines），2014 Guidelines for Primary Prevention and Management of Hypertension in China（Revised Edition）（2014 revised guidelines），and 2017 Guidelines for Primary Prevention and Management of Hypertension in China（2017 guidelines）.The hypertension bidirectional referral criteria contained in 2009 Guidelines and 2014 Revised Guidelines are consistent.In the 2017 guidelines，some items of the hypertension bidirectional referral criteria in these two guidelines were quantified and subdivided，and the acute upward referral criteria for hypertension were added，the downward referral criteria for hypertension were deleted.Neither guidelines nor research articles provided the evidence for the formulation of referral criteria.No articles used the same referral criteria and applied the referral criteria contained in the three above-mentioned guidelines.Moreover，no articles paid attention to the evaluation of such criteria，and specifically studied the development and application of such criteria.Conclusion　The hypertension bidirectional referral criteria contained in the three guidelines have not been fully recognized.Furthermore，there is lack of studies specifically targeting such criteria.In view of this，it is suggested to formulate evidence-based，systematic and easy-to-use hypertension bidirectional referral criteria，to ensure the smooth implementation of the hierarchical medical system.

Key words: Hypertension, Hierarchical medical system, Patient transfer, Referral criteria, Guide