家庭医生制度下医护团队组合模式对高血压的防控效果研究  

Performance of Team- based Community Healthcare in Prevention and Control of Hypertension

作　　者：王甦平[1] 龚睿婕 鲍勇[1] 姜宁 

机构地区：[1]上海交通大学医学院公共卫生学院,上海市200025 [2]上海长桥街道社区卫生服务中心

出　　处：《中国全科医学》2014年第1期28-30,共3页Chinese General Practice

基　　金：上海市公共卫生重点学科健康教育学与健康促进学子课题:社区健康管理模式与实践(12GWZX0901);上海交通大学医学院重大项目:基于构建和谐医患关系的人文课程设置与实践研究(ZD120906);教育部人文社会科学研究一般项目:基于医疗质量改进的患者信任度评价指标体系构建以及实证研究(13YJAZH003)

摘　　要：目的探讨在家庭医生制度下医护团队组合模式对社区高血压管理的效果。方法选取上海长桥街道社区卫生服务中心汇成分中心2011年10月开始采取医护团队组合模式管理的高血压患者541例,至2012年9月对比管理前后患者血压水平的控制情况。结果经过1年医护团队组合模式的管理,高危和极高危组患者比例从41.2%下降至29.9%。管理后平均收缩压由(128±8)mm Hg下降至(126±7)mm Hg,平均舒张压由(78±5)mm Hg下降至(76±5)mm Hg,差异均有统计学意义(t值分别为5.43、5.84,P<0.05)。结论在推行医护团队组合模式后,辖区内高血压患者的血压得到良好控制。在社区推行医护团队组合模式能够更好地发挥家庭医生"健康守门人"的作用,更加合理地配置现有的医疗资源,促进居民健康。Objective To evaluate the performance of team - hased community healthcare in the prevention and control of hypertension. Methods A total of 541 hypertension patients who were managed under a team - based model between October, 2011 and September, 2012 in Changqiao Community Health Service Center in Shanghai were included in the study. Their blood pressure data before and after the team - based care. Results Through a one - year management under the team - based model of community healthcare, the percentage of patients under in the＂ high＂ and＂ extremely high＂ risk categories was reduced from 41. 2% to 29.9%. The average systolic pressure was reduced from （128 ± 8） mm Hg to （ 126 ± 7） mm Hg （t = 5.43, P 〈 0. 05）, and the diastolic pressure was reduced from （78 ± 5） mm Hg to （76 ± 5） mm Hg （t = 5. 84, P 〈 0. 05）. Conclusion The team - based model of community healthcare enables more reasonable allocation of available and a better control of hypertension than the conventional healthcare model. Its wider application would significantly impact community health services in a positive manner.

关 键 词：家庭医生制度 医护团队组合模式 社区高血压管理 

分 类 号：R197[医药卫生—卫生事业管理]