家庭医生服务模式对体弱儿管理工作的观察

目的探讨家庭医生服务模式对社区体弱儿管理的效果。方法选择2011年9月到2014年9月本院所属社康的妇幼保健信息管理系统中0～3岁在管儿童共8235人，随机分成家庭医生服务签约儿童（A组）和非家庭医生服务签约儿童（B组）。统计分析体弱儿疾病的主要类型组成，并由社区健康服务中心利用家庭医生服务模式对签约家庭的体弱儿童的管理效果对比非签约家庭的体弱儿管理效果。结果体弱儿疾病的主要类型有营养性缺铁性盆血、维生素D缺乏性佝偻病、中重度蕾养不良等。其中营养性缺铁性盆血患儿最多，相比于其他疾病差异显著（P〈0．05）。A组的体弱管理的筛查率、管理率、治愈率明显高于B组·差异比较具有统计学意义（P〈0．05）。结论通过家庭医生服务模式可以显著提高签约家庭的弱儿的筛查率、管理率、结案率，有助于体弱儿的管理治疗。

Objective To explore the effect of family doctor service model on the management of community frail infants. Methods select September 2011 to September 2014 the hospital community maternal and child health care information management system in 0~ 3 years of age in children were 8235 people were randomly divided into the family doctor service contract children （group A） and non family doctor service contract children （group B）. Statistical analysis of weak disease the main types of composition, and by community health service center by the service mode of the family physician of family contracted the weak, compared the management effect of chil- dren＇s non family contracted management of weak children effect： the screening rate, management rate, clearance rate. Results there are nutrition deficiency pelvic blood, vitamin D deficiency rickets, moderate to severe malnutrition in the weak disease of the main types, which nutritional iron deficiency anemia in children with most, compared to other diseases in difference significant （P〈0.05）. The family doctor service screening signing family group A weak management rate, management rate, the cure rate was significantly higher than that of non B Group signed the family of the weak, the difference was statistically significant （P〈0.05）. Conclusion through the service mode of the family physician can significantly improve the weak son contracted the screening rate, management rate, clearance rate. in the treatment of frail child＇s management.