重庆市基于疾病诊治的分层互补适宜卫生技术筛选研究  

Study on hierarchical and mutually supplementary appropriate technology in health screening based on diagnosis and treatment of disease in Chongqing

作　　者：徐飞龙[1] 王润华[1] 杨竹[1] 吕亚兰[1] 徐雨晨[1] 刘晓枫[1] 

机构地区：[1]重庆医科大学公共卫生与管理学院,400016

出　　处：《重庆医学》2014年第18期2339-2341,共3页Chongqing medicine

基　　金：重庆市科委科技攻关项目(cstc2012gg-yyjsB10004)

摘　　要：目的筛选适合在重庆市县乡两级医疗机构推广应用的分层互补适宜卫生技术,逐步建立和完善分级分类的适宜卫生技术数据库,扩大适宜卫生技术储备。方法利用吕亚兰等[1]的适宜卫生技术评估指标体系,采用现场专家评分的方法对重庆市科委项目"基于疾病诊治的分层互补适宜技术研究、评价及集成示范"的适宜卫生技术群进行评价筛选[2]。结果各项技术的综合评分值均较高,最低分达到94.61分,其中:舒利迭药物吸入技术98.24分、沙丁胺醇药物吸入技术98.56分、吸入药物控制哮喘技术97.08分、思力华(塞托溴铵)药物吸入技术97.97分、6分钟步行试验96.31分、肺通气功能检查技术95.61分、简易肺功能检测技术95.59分、儿童支气管早期筛查技术94.59分、儿童支气管哮喘病情检测技术-C-AT(儿童哮喘控制测试)评估表96.94分。结论根据适宜卫生技术的入选标准,经过适宜卫生技术评估指标体系进行专家评分,纳入初筛的9项适宜卫生技术全部高分被选中入库,结合各示范县乡的卫生资源和患病率情况,可以对这9项技术加以推广应用。Objective To screen the hierarchical,mutually supplementary Appropriate Technology in Health suitable for the promotion and application in the county and township two-level medical institutions in Chongqing for gradually establishing and per-fecting the grading and classification of Appropriate Technology in Health database,and expanding Appropriate Technology in Health reserves.Methods Using Lv Yalan[1] assessment index system of appropriate health technology,then the experts′scoring method in the field was adopted for evaluating and screening the Chongqing Municipal Science and Technology Proj ectbased on stratification of diagnosis and treatment of disease complementary appropriate technology research,evaluation and integration dem-onstrationAppropriate Technology in Health group[2].Results The comprehensive scores of various techniques were high,in which the lowest score was 94.61 points,including：the drug seretide inhalation technique 98.24 points,the drug salbutamol inhala-tion technique 98.56 points,inhaled medications to control asthma technique 97.08 points,the drug spiriva（tiotropium）inhalation technique 97.97 points,6-min walk test 96.31 points,pulmonary ventilation function inspection technique 95.61,summary pulmo-nary function testing technique 94.59,children bronchial get up early screening technique 94.59,child bronchial asthma detection technique-C-AT（children′s asthma control test）evaluation form 96.94.Conclusion According to the inclusion criteria for Appro-priate Technology in Health and the experts′scores,9 items of Appropriate Technology in Health included by preliminary screening are selected for putting in storage,combined with the health resources and the prevalence rate in the demonstration counties and townships,these 9 items of technology may be promoted and applied.

关 键 词：疾病诊治 分层互补 筛选研究 

分 类 号：R197.1[医药卫生—卫生事业管理]