社区老年高血压签约患者分时段预约门诊的满意度分析  

Satisfaction analysis on day-parting appointment for elderly hypertension contracted outpatients in community

作　　者：高波 钱志龙 沈依红 梁兴伦 GAO Bo;QIAN Zhi-long;SHEN Yi-hong;LIANG Xing-lun(Tongji University School of Medicine,Shanghai 200092,China;Malu Town Community Health Service Center,Shanghai 201801,China;Yangpu Hospital,Tongji University,Shanghai 200090,China)

机构地区：[1]同济大学医学院,上海200092 [2]嘉定区马陆镇社区卫生服务中心,上海201801 [3]同济大学附属杨浦医院,上海200090

出　　处：《上海预防医学》2020年第5期430-433,444,共5页Shanghai Journal of Preventive Medicine

基　　金：同济大学青年优秀人才培养行动计划(2015KJ050)。

摘　　要：【目的】研究分时段预约门诊在社区老年高血压签约患者中的应用效果。【方法】2018年5月选取家庭医生团队中已签约的且被综合性医院确诊、服药至少1年的老年高血压患者两组各103名,年龄在60~80岁之间。试验组团队采用自制的社区高血压专病就诊卡预约就诊,对照组团队按原方式就诊。6个月后比较两组团队患者血压控制、就诊次数、就诊消耗时间及满意度等情况。【结果】试验组团队患者的血压达标率优于对照组(P<0.05);试验组团队的就诊人次数、就诊全程人均消耗时间少于对照组,诊室内利用时间多于对照组(P<0.05);试验组团队门诊总体感受度、家庭医生服务态度、诊疗技术、就诊次数控制、用药量、用药费用及用药安全的满意度均优于对照组(P<0.05)。【结论】社区分时段预约门诊让患者就医更便捷、时间更节约、用药更安全,有效提高了患者社区就诊的质量和满意度。[Objective]To study the application effect of day-parting appointment for elderly hypertensive contracted outpatients in community.[Methods]In May 2018 two groups(experiment and control)of 103 elderly hypertensive contracted outpatients,aged between 60 and 80 and looked after by the team of family doctors,who had been diagnosed with hypertension and with medication for at least one year were set up.The experimental group used self-made community hypertension visiting card for appointments,and the control group used the original way of treatment.Six months later,comparison was made in blood pressure control,the number of outpatients,the time consumed and the satisfaction between the two groups.[Results]It was found in comparison that the blood pressure standard-reaching rate of the experimental group was better than that of the control group(P<0.05);outpatients′visits and time consumed were less than those of the control group,the time used in the clinic room was longer than that in the control group;the differences in these aspects between the two groups were significant(P<0.05);the satisfaction of the overall outpatient perception,attitude of family doctors,treatment technology,visits control,dosage,cost and safety of medication in the experimental group were better than in the control group;there were significant differences in these aspects between the two groups(P<0.05).[Conclusion]Community day-parting appointment proves to be more convenient,more time-saving and safer for outpatients,greatly improving the medical quality and satisfaction for community outpatients.

关 键 词：家庭医生签约 分时段预约 社区门诊 

分 类 号：R544.1[医药卫生—心血管疾病]