社区高血压不同筛查方式的对比研究

Comparison of Different Models for Hypertension-screening in Community Patients

目的探索一种效率高、操作性强、经济的高血压筛查方式,为其他地区的高血压患者筛查方式提供借鉴。方法通过查询文献、专家咨询了解高血压筛查方式,现场对不同的筛查方式进行研究,从筛查的效率、成本、可行性方面对不同筛查方式进行评价。结果社区卫生诊断调查、健康体检、宣传活动日义诊及首诊测血压四种筛查方式平均每天每人筛查高血压患者数分别为0.109例、0.189例、0.25例和0.114例,其筛查1例所花的成本分别为4 701元、3 857元、1 600元和24.04元。落实首诊测血压筛查措施后,高血压筛查数量大幅增加。结论从筛查效率、筛查成本、操作性、日常性角度考虑,首诊测血压是一种经济、效率高、操作性强的高血压筛查常规手段。

Objective To Explore a new hypertension - screening model of high efficiency, economy and operation to provide a reference for hypertension - screening in other regions. Methods The approach of reviewing the relevant literature and consulting experts was used to understand hypertension - screening ways. And the different screening models were taken at the field, and thus to evaluate their efficiency, cost, and feasibility. Results The average numbers daily per capita of hypertensives screened by four screening ways of community health diagnostic investigation, physical examination, clinic activities for charity purpose and blood pressure measurement at patient＇s first visit were 0. 109, 0. 189, 0. 25 and 0. 114 respectively. The screening costs of the four models for one case were RMB 4 701 yuan, 3 857 yuan, 1 600 yuan and 24.04 yuan, respectively. After the implementation of the blood pressure measurement at patient＇s first visit, the number of hypertension screened had significantly increased. Conclusion The blood pressure measurement at patient＇s first visit is an economical, highly efficient and operable model for conventional hypertension screening in terms of efficiency, screening cost, operation and routine.