社区老年人周期性体检实施现状的分析

The situation of periodic check up for the elderly people in community

目的根据国家和浙江省公共卫生服务规范要求,在浙江省首次开展老年人周期性体检工作,经过检前准备、体检实施以及检后连续随访等环节,分析该项目实施情况及存在的困难,探索老年人健康管理的工作方案并推广。方法将辖区60岁及以上且已建立健康档案的居民作为2013年度体检对象,体检后由责任医师向居民发放体检报告并解读、提供后续的随访管理,分析存在的问题及解决对策。结果老年人周期性体检方案初步确立:确定体检对象和项目-筹备经费-建立软件-体检实施-结果审核-报告发放-随访管理。但也存在到检率低、体检项目不完善等问题。结论我中心在浙江省首次完成辖区老年人的健康体检,得到卫生行政部门的高度评价,推进了老年人慢性病管理,但该项目的实施还需要多方面支持。总之,老年人周期性体检是老龄化社会的卫生工作重点内容之一,希望各方齐心协力,力争该项目在全国范围推广,为我国老年人的健康保驾护航。

Objective According to the requirement of national basic public health services and public health service in zhejiang province,we carried out periodic check up for the elderly people in zhejiang province, the whole flowsheet includ- ed preparation, medical check-up and continuity follow up. Aim to form a scientific and rational management model and promote the elderly periodic examination in China. Methods We collected the residents more than 60 years old as the enrolled peoples for annual check-up in 2013 ,we carried out periodic check up,the examinations include physical check- up, blood test, EKG and so on. When the results were available, we gave them the final report and explained them and set up a follow up plan in clinic. Results We have established the elderly periodic medical check-up system. In a worksheet as preparation, medical check-up and continuity follow up. But there was some problems such as too low ratio of attend- ance, the examination was not so reasonable. Conclusion Our medical institute carried out periodic check up for elderly people in zhejiang province for the first time, it was a systemic work cooperated by the administrative department of health, the medical institute and so on, we still need some supports in many aspects. In short, the elderly periodic check-up was one of the important content of health work of an aging society, we hope that all parties work together, make the project in the nationwide promotion ,for the health of the elderly in our country.