真实世界研究视角下社区多病共存患者全科医疗照顾模式应用效果分析  

Analysis on effects of application of general medical care mode in community patients with multiple diseases from the perspective of real world study

作　　者：吴耿茂 廖伟斌 郑耿彬 黄明韬 李依蓝[1] 许榜泳 李奕琏[1] WU Gengmao;LIAO Weibin;ZHENG Gengbin;HUANG Mingtao;LI Yilan;XU Bangyong;LI Yilian(Depertment of General Medicine,Jieyang People’s Hospital,Guangdong,Jieyang 522000,China;Outpatient Department of General Medicine,Xianqiao Community Health Service Center,Rongcheng District,Guangdong,Jieyang 522051,China;Department of General Medicine,People's Hospital of Rongcheng District,Jieyang City Guangdong,Jieyang 522000,China;Inpatient Department of General Medicine,Chiwei Community Health Service Center,Puning City,Guangdong,Puning 515343,China)

机构地区：[1]广东省揭阳市人民医院全科医学科,广东揭阳522000 [2]广东省揭阳市榕城区仙桥社区卫生服务中心全科门诊,广东揭阳522051 [3]广东省揭阳市榕城区人民医院全科医学科,广东揭阳522000 [4]广东省普宁市池尾社区卫生服务中心全科住院部,广东普宁515343

出　　处：《中国医药科学》2020年第7期14-18,共5页China Medicine And Pharmacy

摘　　要：目的分析在真实世界研究视角下,社区多病共存患者应用全科医疗照顾模式的效果。方法选取街道社区卫生服务中心2016年1~3月收治的150例多病共存患者作为对照组,应用常规普通门诊治疗流程处理;选取街道街道社区卫生服务中心2016年4~6月收治的150例多病共存患者作为实验组,应用全科医疗照顾模式;观察比较应用效果。结果与对照组比较,实验组2年后的入院率明显降低(P<0.05),满意率明显提高(P<0.05),重症天数、治疗费用均明显减少(P<0.05)。治疗前组间患者MY-MOP评分、CGI评分数值相当(P>0.05);与治疗前比较,两组2年后的各项MY-MOP评分、CGI评分均明显降低(P<0.05);在2年后MY-MOP评分、CGI评分方面,实验组较对照组更低,差异有统计学意义(P<0.05)。结论社区多病共存患者应用全科医疗照顾模式,可改善患者的临床结局,很大程度上提升了患者的生活质量,值得推广。Objective To analyze the effect of application of general medical care mode in community patients with multiple diseases from the perspective of real world study.Methods 150 patients with multiple diseases who were admitted to the street community health service center from January to March 2016 were selected as the control group and they were given routine general outpatient treatment process.150 patients with multiple diseases who were treated in Street Community Health Service Center from April to June 2016 as the experimental group were selected as the experimental group and they were given general medical care mode.Application effects were observed and compared.Results Compared with the control group,the admission rate of the experimental group after 2 years was significantly reduced(P<0.05),the satisfaction rate was significantly increased(P<0.05),and the number of severe days and treatment costs were significantly reduced(P<0.05).There was no statistically significant difference in the MY-MOP scores and CGI scores between the two groups before treatment(P>0.05).Compared with before treatment,the MYMOP scores and CGI scores of the two groups after 2 years were significantly reduced(P<0.05).And the MY-MOP scores and CGI scores of the experimental group after 2 years were significantly lower than those of the control group(P<0.05).Conclusion The application of general medical care mode in community patients with multiple diseases can significantly improve their clinical outcomes and significantly improve their quality of life,which has clinical promotion value.

关 键 词：多病共存 全科医疗照顾模式 临床结局 生活质量 

分 类 号：R197.1[医药卫生—卫生事业管理]