社区全科医生慢性病管理不同模式探索与研究  

Community family physicians in the performances of different management models of chronic disease

作　　者：李震宇[1] 易春涛[1] 朱莉珍[1] 田文栋[1] 陈志刚[1] 

机构地区：[1]上海市徐汇区康健街道社区卫生服务中心,200233

出　　处：《中华全科医师杂志》2013年第4期280-282,共3页Chinese Journal of General Practitioners

摘　　要：对于社区全科医生采用不同模式进行慢性病管理的成效进行比较。2011年6月至2012年4月间，采用以全科医生为主体的3种管理模式（A、B、C）对慢性病患者进行管理，并与以公卫医师为主体的传统管理模式作对比。以全科医生为主体的3种模式下的慢性病管理人数、人次、平均参与慢性病有效工作时间均各有不同；模式c的高血压和糖尿病规范管理率以及门诊及非上门管理率均高于模式A、B（P〈0．05）；同时模式A的非上门管理率明显低于模式B、C（P〈0．05）；模式C的高血压控制率、血糖控制率、社区居民慢性病知晓率明显优于其他两种模式（P〈0．05）。各模式互为补充，各具优势，但模式c更能体现居民慢性病自我管理的服务理念。To compare the performances of community family physicians in different patterns of chronic disease management. From June 2011 to April 2012, 3 different models （A, B, C） of chronic disease management were employed for a total of 4972 patients. Statistics analyses were performed. The number of participants, session and average effective working time were different. In terms of standard management of hypertension, diabetic management rate and non on-site management rate, model C was superior to models A and B （P 〈 0. 01 ）. And model A had the lowest rate of non on-site management （ P 〈 0. 05）. Though with each own advantage, three models are complementary. But model C reflects the residents＇ self-management concept of chronic disease.

关 键 词：全科医生 疾病管理 

分 类 号：R197.1[医药卫生—卫生事业管理]