社区慢性病防治的全科医疗模式和效果分析

Analysis and Effect of General Medical Mode of the Prevention and Control of Chronic Disease in Community

目的:探究社区慢性病防治的全科医疗模式和效果。方法:选取2013年1月-2017年1月笔者所在社区慢性病患者为研究对象。按照实施全科医疗模式的时间将其分为对照组和观察组。对照组给予常规的慢性病管理措施,观察组则给予全科医疗的慢性病管理模式。统计采取全科医疗模式前后,居民建档,慢性病登记,知识掌握,血压和血糖达标人数比例,以及其对慢性病防治的满意度,医疗支出和知晓度。结果:观察组居民建档、慢性病登记、知识掌握、血压和血糖达标人数比例明显高于对照组,差异均有统计学意义(x^2=188.21、24.25、149.62、204.17、187.59,P<0.05)。观察组的满意度和糖尿病、高血压病症知晓人数比例明显高于对照组,医疗支出则明显少于对照组,差异均有统计学意义(x^2=78.95、51.34、40.06,t=65.54、44.13,P<0.05)。结论:社区全科医疗模式能够降低患者的安全风险,有效控制慢性病患者病情进展和发生率,值得推广应用。

Objective：To explore the general medical mode and effect of general medical model of prevention and treatment of chronic disease in community.Method：From January 2013 to January 2017,the patients of chronic disease in community were divided into two group according to the time of implementing the general medical model.The control group was given conventional management,while the observation group was given general practice of chronic disease management.Before and after the general medical model,the resident files,chronic disease registration,knowledge mastery,the proportion of blood pressure and blood glucose standard,and their satisfaction with chronic disease prevention,medical expenses and awareness were counted.Result：In the observation group,the proportion of resident files,chronic diseases registration,knowledge mastery,blood pressure and blood glucose standard were significantly higher than those in the control group,the differences were statistically significant（ x2=188.21,24.25,149.62,204.17,187.59,P〈0.05）.The satisfaction rate and the awareness rate of diabetes and hypertension of the observation group were significantly higher than those of the control group,while the medical expenditure was significantly less than that of the control group.the differences were statistically significant（ x2=78.95,51.34,40.06,t=65.54,44.13,P〈0.05）.Conclusion：General medical mode in community can reduce the patient＇s safety risk and effectively control the progression and incidence of chronic diseases,which is worth popularizing widely.