中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2015年
7期
591-594
,共4页
唐雪峰%关旭静%吴先萍%王梅引%梅榕%蒋秀文%张静靖%李华
唐雪峰%關旭靜%吳先萍%王梅引%梅榕%蔣秀文%張靜靖%李華
당설봉%관욱정%오선평%왕매인%매용%장수문%장정정%리화
高血压%糖尿病%健康调查%卫生服务
高血壓%糖尿病%健康調查%衛生服務
고혈압%당뇨병%건강조사%위생복무
Hypertension%Diabetes mellitus%Health surveys%Health services
目的:探讨四川省基本公共卫生服务项目中高血压和糖尿病患者健康管理服务的数量、质量及其效果。方法2014年3月,采取多阶段分层随机抽样方法,在四川省21个市(州)中抽取11个市的22个县(区)的44个乡镇卫生院(社区卫生服务中心),获取高血压和糖尿病患者健康管理率,并在每个乡镇卫生院(社区卫生服务中心)等距抽取高血压和糖尿病档案各10份,开展电话调查,核查档案表单、个人信息、体检记录、随访信息等,根据国家基本公共卫生服务规范设定条件,判断档案信息准确性和服务规范性。比较档案信息准确和不准确、服务规范和不规范的受访对象满意率和控制率。结果高血压和糖尿病患者健康管理率分别为33.8%(69680/206154)和24.0%(25562/106508)。慢性病患者档案信息准确率为81.16%(702/865),服务规范率为74.36%(522/702),血压控制率为86.92%(299/344),血糖控制率为85.46%(288/337),患者满意率为94.58%(698/738)。档案信息准确和不准确的对象满意率分别为98.69%(677/686)和40.38%(21/52)(χ2=320.52,P<0.001);服务规范和不规范的对象满意率分别为99.22%(508/512)和97.13%(169/174)(χ2=2.92,P=0.087)。结论四川省高血压和糖尿病患者健康管理服务质量较好,需进一步提高管理率、档案信息准确率和服务规范率。
目的:探討四川省基本公共衛生服務項目中高血壓和糖尿病患者健康管理服務的數量、質量及其效果。方法2014年3月,採取多階段分層隨機抽樣方法,在四川省21箇市(州)中抽取11箇市的22箇縣(區)的44箇鄉鎮衛生院(社區衛生服務中心),穫取高血壓和糖尿病患者健康管理率,併在每箇鄉鎮衛生院(社區衛生服務中心)等距抽取高血壓和糖尿病檔案各10份,開展電話調查,覈查檔案錶單、箇人信息、體檢記錄、隨訪信息等,根據國傢基本公共衛生服務規範設定條件,判斷檔案信息準確性和服務規範性。比較檔案信息準確和不準確、服務規範和不規範的受訪對象滿意率和控製率。結果高血壓和糖尿病患者健康管理率分彆為33.8%(69680/206154)和24.0%(25562/106508)。慢性病患者檔案信息準確率為81.16%(702/865),服務規範率為74.36%(522/702),血壓控製率為86.92%(299/344),血糖控製率為85.46%(288/337),患者滿意率為94.58%(698/738)。檔案信息準確和不準確的對象滿意率分彆為98.69%(677/686)和40.38%(21/52)(χ2=320.52,P<0.001);服務規範和不規範的對象滿意率分彆為99.22%(508/512)和97.13%(169/174)(χ2=2.92,P=0.087)。結論四川省高血壓和糖尿病患者健康管理服務質量較好,需進一步提高管理率、檔案信息準確率和服務規範率。
목적:탐토사천성기본공공위생복무항목중고혈압화당뇨병환자건강관리복무적수량、질량급기효과。방법2014년3월,채취다계단분층수궤추양방법,재사천성21개시(주)중추취11개시적22개현(구)적44개향진위생원(사구위생복무중심),획취고혈압화당뇨병환자건강관리솔,병재매개향진위생원(사구위생복무중심)등거추취고혈압화당뇨병당안각10빈,개전전화조사,핵사당안표단、개인신식、체검기록、수방신식등,근거국가기본공공위생복무규범설정조건,판단당안신식준학성화복무규범성。비교당안신식준학화불준학、복무규범화불규범적수방대상만의솔화공제솔。결과고혈압화당뇨병환자건강관리솔분별위33.8%(69680/206154)화24.0%(25562/106508)。만성병환자당안신식준학솔위81.16%(702/865),복무규범솔위74.36%(522/702),혈압공제솔위86.92%(299/344),혈당공제솔위85.46%(288/337),환자만의솔위94.58%(698/738)。당안신식준학화불준학적대상만의솔분별위98.69%(677/686)화40.38%(21/52)(χ2=320.52,P<0.001);복무규범화불규범적대상만의솔분별위99.22%(508/512)화97.13%(169/174)(χ2=2.92,P=0.087)。결론사천성고혈압화당뇨병환자건강관리복무질량교호,수진일보제고관리솔、당안신식준학솔화복무규범솔。
Objective To investigate the quantity, quality and effect of health management service project for patients with hypertension and diabetes in basic public health service project of Sichuan province. Methods 44 health clinics or community health service center, 22 counties and 11 cities was extracted by method of multistage stratified sampling on March,2014. In each institution we sampled 10 resident health record of hyperpietic and 10 of diabetic. Number of managed patients was recorded to calculate the rate of health management. Telephone survey was used to judge the accuracy and standardability of services the patients received according to the national basic public health service specifications. We compared the satisfaction rate and blood pressure/blood sugar control rate of patients which had accurate record to which had not, and which got normative services to which didn't. Results 33.8%(69 680/206 154) of the hyperpietics and 24.0% (25 562/106 508) of the diabetics were managed. 81.16%(702/865) of the records were with accurate information. 74.36%(522/702) of the patients received normative services. Blood pressure was well controlled in 86.92%(299/344) of the hyperpietics, and FPG was well controlled in 85.46%(288/337) of the diabetics. The satisfaction rate was 94.58% (698/738). The satisfaction rate of patients which had accurate record was 98.69%(677/686), but of which had not was just 40.38% (21/52) (χ2=320.52,P<0.001). The satisfaction rate of patients which got normative services was 99.22% (508/512), and of which did not get was 97.13% (169/174) (χ2=2.92,P=0.087). Conclusion The quality of managed chronic patients was well, and got obvious effect. Measures need to implement for increasing the management rate, accuracy and standardability of health management services for hyperpietic and diabetic.