家庭医生签约高血压患者健康管理服务成本效果分析

Cost Effectiveness Analysis on Family Physician Health Management Service for Signed Hypertension Patient

目的分析家庭医生签约高血压患者健康管理服务的成本和效果。方法选取2012—2014年上海市天目西路社区卫生服务中心家庭医生签约高血压患者及公共卫生人员管理高血压患者,调查家庭医生次均门诊医疗服务人力成本、家庭医生门诊高血压健康管理服务人力成本、公共卫生人员服务人力总成本、家庭医生与公共卫生人员高血压健康管理模式成本-效果分析。结果 2012—2014年家庭医生高血压接受规范管理比例及血压控制达标率均高于公共卫生人员。2012—2014年家庭医生门诊高血压健康管理平均每有效控制血压一人的平均成本分别为1.06、1.59、1.53元;公共卫生人员分别为28.19、35.34、44.57元;每有效控制血压一人的平均成本前者比后者分别节省27.13、33.75、43.04元。结论家庭医生签约高血压患者实施健康管理是一种低成本高效果的慢病管理模式。

Objective Analysed the labor cost and health manage effect of hypertensive patients contracted by family doctors. Methods Selected the hypertensive patients who contracted by family doctors or public health professionals in west Tianmu road community clinic from 2012 to 2014. Surveyed the labor cost of outpatient medical care and hypertensive patient health management by family doctor. Calculated the total labor cost of hypertensive patients managed by pulic health professionals. And analysed the cost-effectiveness of hypertension health management model by family doctor and public health professionals. Results The raio of standard management and successful blood pressure control in hypertensive patients contracted by family doctors is higher than pubic health professionals. The average cost of blood pressure control in patients managed by family doctor was 1. 06,1. 59 and 1. 53 yuan,which in patients manage by public health professionals was 28. 19,35. 34 and 44. 57 yuan. The former saved 27. 13,33. 75 and 43. 04 yuan respectively. Conclusion Health management for hypertensive patients contracted by family doctors is a low cost and high efficiency chronic disease management model.