CAJ | 학술논문

目的探索建立社区卫生服务与区域医院的医疗服务对慢性疼痛性疾病管理的新模式.方法对中山市火炬开发区濠头社区常住居民的慢性疼痛性疾病行关键技术集成应用前后进行流行病学调查.结果慢性疼痛性疾病的患病率为51.83%,其中男性为47.06%,女性为57.32%;关键技术集成应用后疗效的优良率从30.22%提高到67.08%,医疗费用下降了36.16%,病休天数由平均32.42 d减少至平均15.25 d(均P<0.001).结论具有网络终端、集规范化诊治、远程会诊、健康教育为一体的社区卫生服务与区域医院对慢性疼痛疾病的共同管理模式能提高社区慢性疼痛管理效果.
목적탐색건립사구위생복무여구역의원적의료복무대만성동통성질병관리적신모식.방법대중산시화거개발구호두사구상주거민적만성동통성질병행관건기술집성응용전후진행류행병학조사.결과만성동통성질병적환병솔위51.83%,기중남성위47.06%,녀성위57.32%;관건기술집성응용후료효적우량솔종30.22%제고도67.08%,의료비용하강료36.16%,병휴천수유평균32.42 d감소지평균15.25 d(균P<0.001).결론구유망락종단、집규범화진치、원정회진、건강교육위일체적사구위생복무여구역의원대만성동통질병적공동관리모식능제고사구만성동통관리효과.
Objective To evaluate a model of management for chronic pain disease coordinated community health services and district hospital. Methods The epidemiology of chronic pain disease was surveyed in Haotao community of Zhongshan, before and after the estab-lishment of the model of management. Results The prevalence rate of chronic pain disease was 51.83%, in which it was 47.06%in men, and 57.32% in women. After the establishment of the model, the efficacy of good to excellent improved from 30.22% to 67.08%, the cost for medicine reduced 36.16%, time for rest reduced from 32.42 d to 15.25 d (P<0.05). Conclusion The model of management that coordinated community health services and district hospital, including demonstration diagnosis and treatment through internet, tele-consultations and health education, is effective on chronic pain disease.