本文已被:浏览 5665次 下载 0次
中文摘要: 目的 分析“1+1+1”组合签约模式下社区慢性心力衰竭患者对家庭医生服务利用情况。方法 通过上海市浦东新区潍坊社区卫生服务中心医院信息系统,调查543例慢性心力衰竭患者的基本资料、疾病情况、“1+1+1”医疗组合签约情况和签约相关的社区卫生服务资源使用情况。结果 “1+1+1”签约者448例(82.5%)。签约者较未签约者参加免费体检和体重管理的比例显著增多(均P<0.05)。2016年签约患者在2018年的月就诊次数、月就诊费用较2017年签约者多,差异有统计学意义(P<0.001),2016年签约患者的高血压、高脂血症患病率高于2017年签约者,差异有统计学意义(P<0.001)。2016年签约患者比较其签约后2年的月均就诊次数和月均就诊费用,发现每月于社区就诊的次数下降(P<0.05)。2017年签约患者签约后每月在社区的就诊次数和就诊费用较签约前显著增多(P<0.001)。结论 “1+1+1”组合签约对医疗资源的合理利用起到了积极有效的推进作用。
中文关键词: “1+1+1”组合签约 慢性心力衰竭 家庭医生 服务利用
Abstract:OBJECTIVE To investigate the health services use of “1+1+1” family doctor Service in patients with congestive heart failure (CHF) in the community and to provide information for improving “1+1+1” family doctor Service. METHODS A survey of 543 CHF patients was conducted from hospital information system in the Wei Fang Community Health Service Center in Shanghai from November 2017 to May 2018. And the data about health services visits for CHF were collected in the latest two year. According to whether to accept “1+1+1” family doctor service, all patients were divided into two groups: the contracted group and control group. The clinical data were compared between two groups.RESULTS 448 patients (82.5%) accepted “1+1+1” family doctor service. The rate of participation of free medical examination and weight management was higher in the contracted group than in control group (all P<0.05). The rate of participation of free medical examination and weight management were higher in the contracted group than in control group (all P<0.05). The monthly visits and monthly medical cost of 2018 in patients who contracted in 2016 were higher than patients who contracted in 2017 (all P<0.001). The prevalence of hypertension and hyperlipidemia in patients who contracted in 2016 were higher than patients who contracted in 2017 (all P<0.001). The monthly visits of 2018 was lower than that of 2017 in patients who contracted in 2016 (P<0.05). The monthly visits and monthly medical cost of 2018 were higher than that of 2016 in patients who contracted in 2017 (all P<0.001). CONCLUSION “1+1+1” family doctor service is favorable for the rational use of medical resources.
文章编号:3201902012 中图分类号:R197 文献标志码:
基金项目:
| 作者 | 单位 |
| 韩海燕① ,唐 岚①# |
| Author Name | Affiliation |
引用文本:
