中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
21期
165-168
,共4页
糖尿病患者%社区卫生服务团队%家庭医生式服务%规范化管理
糖尿病患者%社區衛生服務糰隊%傢庭醫生式服務%規範化管理
당뇨병환자%사구위생복무단대%가정의생식복무%규범화관리
Diabetic patients%Community health service team%Family physician service%Standardized management
目的：探讨北京市右安门社区对糖尿病患者实施家庭医生式服务的成效，为社区规范化糖尿病管理提供±据。方法选取2013年7月~2014年6月与北京市丰台区右安门社区卫生服务中心签约的糖尿病患者4665例，以“3+X”的社区卫生服务团队为基础，开展家庭医生式服务模式对糖尿病患者进行规范化管理，12个月后评价成效。结果实施家庭医生式服务后，糖尿病患者糖尿病知识知晓率、规范管理率由实施前的56.91%、52.35%上升至82.68%、79.31%；糖化血红蛋白达标率、空腹血糖达标率由实施前的48.31%、34.84%上升至57.67%、43.56%，药费由实施前的（780±190）元降为（620±110）元；糖尿病患者对医疗机构及医务人员的满意度由实施前的76.91%、62.35%上升至91.68%、85.31%；差异均有统计学意义（P<0.05或P<0.01）。结论实施家庭医生式服务管理糖尿病患者治疗效果好、费用低、患者满意度高，“3+X”的社区卫生服务团队是其最好的实现载体。
目的：探討北京市右安門社區對糖尿病患者實施傢庭醫生式服務的成效，為社區規範化糖尿病管理提供±據。方法選取2013年7月~2014年6月與北京市豐檯區右安門社區衛生服務中心籤約的糖尿病患者4665例，以“3+X”的社區衛生服務糰隊為基礎，開展傢庭醫生式服務模式對糖尿病患者進行規範化管理，12箇月後評價成效。結果實施傢庭醫生式服務後，糖尿病患者糖尿病知識知曉率、規範管理率由實施前的56.91%、52.35%上升至82.68%、79.31%；糖化血紅蛋白達標率、空腹血糖達標率由實施前的48.31%、34.84%上升至57.67%、43.56%，藥費由實施前的（780±190）元降為（620±110）元；糖尿病患者對醫療機構及醫務人員的滿意度由實施前的76.91%、62.35%上升至91.68%、85.31%；差異均有統計學意義（P<0.05或P<0.01）。結論實施傢庭醫生式服務管理糖尿病患者治療效果好、費用低、患者滿意度高，“3+X”的社區衛生服務糰隊是其最好的實現載體。
목적：탐토북경시우안문사구대당뇨병환자실시가정의생식복무적성효，위사구규범화당뇨병관리제공±거。방법선취2013년7월~2014년6월여북경시봉태구우안문사구위생복무중심첨약적당뇨병환자4665례，이“3+X”적사구위생복무단대위기출，개전가정의생식복무모식대당뇨병환자진행규범화관리，12개월후평개성효。결과실시가정의생식복무후，당뇨병환자당뇨병지식지효솔、규범관리솔유실시전적56.91%、52.35%상승지82.68%、79.31%；당화혈홍단백체표솔、공복혈당체표솔유실시전적48.31%、34.84%상승지57.67%、43.56%，약비유실시전적（780±190）원강위（620±110）원；당뇨병환자대의료궤구급의무인원적만의도유실시전적76.91%、62.35%상승지91.68%、85.31%；차이균유통계학의의（P<0.05혹P<0.01）。결론실시가정의생식복무관리당뇨병환자치료효과호、비용저、환자만의도고，“3+X”적사구위생복무단대시기최호적실현재체。
Objective To explore the effectiveness of family physician service in diabetic patients in You'anmen Com-munity of Beijing, in order to provide the basis for standardized management of community. Methods 4665 patients with diabetes, who had signed with You'anmen Community Health Service Center of Beijing from July 2013 to June 2014, were selected to be carried out the family physician service pattern for standardized management of patients, based on "3+X" community health service team. The results were evaluated after 12 months. Results The awareness rate of knowledge about diabetes mellitus and standardized management rate of diabetic patients underwent family physician services increased from 56.91%and 52.35%to 82.68%and 79.31%. The qualified rate of glycosylated hemoglobin and blood glucose increased from 48.31% and 34.84% to 57.67% and 43.56%. The costs of diabetic patients reduced from (780±190) yuan to (620±110) yuan. The degrees of satisfaction with institutions and medical personnel in diabetic patients increased from 76.91% and 62.35% to 91.68% and 85.31%. The differences of all above indexes were statisti-cally significant (P< 0.05 or P<0.01). Conclusion Carrying out the family physician service to manage diabetic pa-tients has good therapeutic effects, low costs and high patient satisfaction. The"3+X" community health service team is the best implementing carrier of it.
