河南省公共卫生服务多项目县2型糖尿病健康管理服务实施效果

Efficacy of health management services for patients with type Ⅱ diabetes in Henan province

目的:了解河南省实施国家基本公共卫生服务1a的2个项目县2型糖尿病健康管理服务的效果。方法:采用分层整群配额抽样方法抽取2个样本县,对2型糖尿病健康管理服务进行入户调查,对乡、村服务机构开展机构调查。结果:2010年2个样本县基本公共卫生服务经费到位率分别为86.9%和98.2%,2型糖尿病患者健康管理率分别为97.8%和96.1%,按期随访率分别为68.4%和57.1%,管理人群血糖控制率分别为14.2%和19.7%。居住在不同地理环境(山区、丘陵、平原)的2型糖尿病患者的血糖控制率差异有统计学意义(χ2=9.899,P=0.007),平原地区患者的血糖控制率较高;而不同性别和不同收入水平患者血糖控制率差异均无统计学意义(χ2=0.406和1.231,P均<0.05)。结论:国家基本公共卫生服务2型糖尿病健康管理服务在覆盖、质量和效果方面取得了初步成效,但血糖控制率及经费支出率仍有较大提升空间,同时需要重点加强对边远地区居民的干预力度。

Aim：To study the efficacy of national basic public health service＇s progress for type Ⅱdiabetes in Henan province.Methods：Stratified cluster quota sampling method was used mainly.Research method included service object investigation,organization investigation and personal depth interview.Results：The funds allocation rates for sample county 1 and 2 were 86.9% and 98.2%,respectively in 2010.The coverage of diabetes health management was 97.8% and 96.1%.Diabetes on schedule follow-up rates were 68.4% and 57.1%.The blood sugar control rates were 14.2% and 19.7%,and there was significant difference in blood sugar control rate among peoples from mountain area,hilly land and plain（χ2=9.899,P=0.007）.Conclusion：The national basic public health services progress for type Ⅱ diabetes has won initial success,and should pay more attention to improving the blood sugar control rate,expenditure of funds,and peoples from mountain area.