2015～2016年四川省高血压患者接受基层健康管理服务情况分析  

Analysis of health management service of hypertension in Sichuan province from 2015 to 2016

作　　者：关旭静[1] 唐雪峰[1] 金必辉[1] 王梅引[1] 梅榕[2] 蒋秀文[3] 桑振修[1] 吴先萍[1] 

机构地区：[1]四川省疾病预防控制中心,成都610041 [2]四川省妇幼保健院保健部,成都610031 [3]绵阳市第三人民医院,四川绵阳621000

出　　处：《中国循证医学杂志》2017年第5期517-521,共5页Chinese Journal of Evidence-based Medicine

摘　　要：目的对2015~2016年四川省基本公共卫生服务项目中高血压患者接受基层健康管理服务的情况进行分析,为进一步规范高血压的社区防治工作提供科学依据。方法采取多阶段分层随机抽样方法,在全省分别抽取21个县(区)的42个基层医疗卫生机构开展调查,在每个机构等距抽取高血压患者健康档案各10份开展电话调查,核查档案表单、个人信息、体检记录、随访信息等,根据国家基本公共卫生服务规范设定条件判断档案信息准确性和服务规范性,记录最后一次随访时的血压,并进行分析。结果 2015~2016年,四川省高血压患者健康管理率由42.09%下降到40.31%(χ~2=115.33,P<0.05),健康档案信息准确率由84.29%上升到88.79%(χ~2=1.94,P=0.16),服务规范率由69.49%上升为72.33%(χ~2=0.54,P=0.57),血压控制率由82.66%上升为85.37%(χ~2=0.52,P=0.48),服务规范化可明显提高血压控制率(χ~2=22.61,P<0.05)。结论 2015~2016年四川省高血压患者健康管理服务工作取得一定成效,但仍需进一步提高服务的规范性。Objective To analysis the situation of health management service project for patients with hypertension in basic public health service project of Sichuan province from 2015 to 2016, and to provide enhancing suggestions for community prevention of hypertension. Methods A total of 42 health clinics or community health service centers, 21 counties and 21 cities were extracted each year by method of multistage stratified random sampling from 2015 to 2016. In each institution, we sampled 10 residents, health records of hypertension. Telephone survey was used to judge the accuracy and standard ability of services the patients received according to the national basic public health service specifications, such as personal information, physical examing records, follow up information.The blood pressure of the last follow-up was recorded. Results Rate of the managed hypertension was from 42.09% to 40.31% （χ^2=115.33, P〈0.05）, rate of the records with accurate information was from 84.29% to 88.79% （χ^2=1.94, P=0.16）, and rate of the patients received normative services was from 69.49% to 72.33% （χ^2=0.54, P=0.57）. The control rate of blood pressure was from 82.66% to 85.37% （χ^2=0.52, P=0.48）. The standardization of the service could obviously improve blood pressure control rates （χ^2=22.61, P〈0.05）. Conclusion Progress has been achieved in health management service of hypertension in Sichuan province from 2015 to 2016, however the standardization of the service is needed to be further enhanced.

关 键 词：高血压 效果 健康管理 

分 类 号：R544.1[医药卫生—心血管疾病]