2016年四川省城乡慢性病患者健康管理服务现状分析  

Status Analysis of Health Management Service for Hypertension and Diabetes of Sichuan Province in 2016

作　　者：关旭静[1] 金必辉[1] 吴先萍[1] 唐雪峰[1] 王梅引[1] 梅榕[2] 蒋秀文[3] 桑振修[1] 张静靖[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610041 [3]四川省精神卫生中心,四川绵阳621000

出　　处：《预防医学情报杂志》2018年第2期157-160,共4页Journal of Preventive Medicine Information

摘　　要：目的分析2016年四川省城乡基本公共卫生服务项目中慢性病患者健康管理服务的开展现状及效果。方法采取多阶段分层随机抽样方法,在全省21个市(州)中抽取21个县(区)的21家乡镇卫生院和21家社区卫生服务中心,在每个机构等距抽取高血压和糖尿病档案各10份开展电话调查,核查档案信息,判定服务规范性,询问满意度,并现场测量血压/血糖,进行分析。结果高血压和糖尿病患者管理率分别为40.31%(城市:43.86%,农村:38.61%,χ~2=827.47,P<0.01)和27.62%(城市:29.39%,农村:26.44%,χ~2=93.68,P<0.01),信息准确率分别为88.79%(城市:85.53%,农村:90.38%,χ~2=1.21,P>0.05)和89.04%(城市:85.33%,农村:90.97%,χ~2=1.61,P>0.05),规范管理率分别为57.28%(城市:55.38%,农村:58.16%,χ~2=0.14,P>0.05)和61.54%(城市:65.63%,农村:59.54%,χ~2=0.67,P>0.05),患者血压和血糖控制率分别为40.16%(城市:29.27%,农村:45.35%,χ~2=2.99,P>0.05)和53.09%(城市:52.63%,农村:53.78%,χ~2=0.02,P>0.05),高血压和糖尿病患者服务满意率分别为97.09%(城市:98.46%,农村:96.45%,χ~2=0.63,P>0.05)和94.36%(城市:96.88%,农村:93.13%,χ~2=1.13,P>0.05)。结论四川省基本公共卫生服务项目慢性病患者健康管理工作取得一定成效。Objective To analyze the quantity,quality and effect of the health management service project for patients with hypertension and diabetes in basic public health service project of Sichuan Province. Methods Forty two health clinics or community health service centers,in 21 counties and 21 cities were selected by method of multistage stratified sampling in 2016. In each institution health records of 10 patients with hypertension and 10 patients with mellitus diabetes were drawn. A telephone survey was conducted to judge the accuracy and standardability of services the patients received. Physical and biochemical examinations were carried out to measure blood pressure and the situation of glucose control. Results The rates of management on hypertension patients and type 2 diabetes mellitus patients were 40. 31%（ urban： 43. 86%; rural： 38. 61%,χ~2=827. 47,P〈0. 01） and 27. 62%（ urban： 29. 39%; rural： 26. 44%,χ~2= 93. 68,P〈0. 01）,respectively.Rates of the records with accurate information were 88. 79%（ urban： 85. 53%; rural： 90. 38%,χ~2= 1. 21,P〉0. 05） and 89. 04%（ urban： 85. 33%; rural： 90. 97%,χ~2= 1. 61,P〉0. 05）,respectively. The standardized management rates were 57. 28%（ urban： 55. 38%; rural： 58. 16%,χ~2= 0. 14,P〉0. 05） and 61. 54%（ urban： 65. 63%; rural： 59. 54%,t= 0. 67,P〉0. 05）,respectively. The rate of blood pressure control among hypertension patients and the rate of fasting glucose control among type 2 diabetes mellitus patients were 40. 16%（ urban： 29. 27%; rural： 45. 35%,χ~2= 2. 99,P〉0. 05） and 53. 09%（ urban： 52. 63%; rural：53. 78%,χ~2= 0. 02,P〉0. 05）,respectively. Satisfaction rates for the management service of the hypertension patients and type 2 diabetes mellitus patients were 97. 09%（ urban： 98. 46%; rural： 96. 45%,χ~2= 0. 63,P〉0. 05） and 94. 36%（ urban： 96. 88%; rural： 93. 13%,χ~2= 1. 13,P〉0. 05）,respectively. Conclusion Certain results have been obtained in managing hypertension and type 2 d

关 键 词：高血压 糖尿病 基本公共卫生服务 疾病管理 

分 类 号：R197.1[医药卫生—卫生事业管理]