基于“真实世界研究”的社区多病共存患者的全科医疗照顾模式分析

Analysis of general practice care model for patients with multi-morbidity in community based on "real world study"

目的:探讨基于真实世界研究方法的社区多病共存患者的全科医疗照顾模式。方法:收治多病共存患者190例作为试验组,给予全科医疗照顾模式;收治多病共存患者186例作为对照组,给予普通门诊治疗。比较两组临床结局指标、基于患者报告的症状量表(MY-MOP)、总体印象量表(CGI)的评分。结果:治疗后两组费用支出、满意率、入院率、重症天数比较,差异有统计学意义(P<0.05)。试验组MYMOP症状1、症状2、活动、总体健康评分显著优于对照组,差异有统计学意义(P<0.05)。治疗2年后,试验组SI、GI、EI明显优于对照组,差异有统计学意义(P<0.05)。结论:全科医疗照顾模式可以提高社区多病共存患者的生活质量。

Objective：To explore the general practice care model for patients with multi-morbidity in community based on real world study.Methods：190 cases of patients with multi-morbidity were selected as the experiment group,and was given the general medical care mode.186 cases of patients with multi-morbidity were selected as the control group,and was given the general outpatient treatment.The clinical outcome indicators,the measure your medical outcome profile（MY-MOP） and the clinical global impression（CGI） were compared between the two groups.Results：After treatment,there were statistically significant differences of terms of expenses,satisfaction rate,admission rate and severe days between the two groups（P〈0.05）.The symptom 1,symptom 2,activity and general health score in the MYMOP of the experiment group were significantly better than those in the control group,and the difference was statistically significant（P〈0.05）.After 2 years of treatment,the SI,GI and EI in the experiment group were significantly better than those in the control group,and the difference was statistically significant（P〈0.05）.Conclusion：General medical care mode could improve the quality of life in the patients with multi-morbidity in community.