我国县级医院高血压慢性病管理现状调查  

Investigation on the chronic disease management of hypertension in county-level medical institutions in China

作　　者：陈源源[1] 孙宁玲[1] 祝亮 董寅 刘幼根[4] 耿洁 毛文华 张楚若 刘小云 Chen Yuanyuan;Sun Ningling;Zhu Liang;Dong Yin;Liu Yougen;Geng Jie;Mao Wenhua;Zhang Churuo;Liu Xiaoyun(Hypertension Laboratory,Department of Cardiology,People′s Hospital of Peking University,Beijing 100044,Chian;Dean′s Office,Health Care Group,Central Hospital of Yongcheng,Yongcheng 476600,China;Dean′s Office,Health Community Group,People′s Hospital of Yuhuan,Taizhou 317600,China;Chronic Disease Management Centre,First People′s Hospital of Jiashan,Jiaxing 314100,China;Chronic Disease Management Centre,Central Hospital of Qinghe County,Xingtai 054800,China;Dean′s Office,People′s Hospital of Yunxian,Lincang 675800,China;Department of Cardiovascular Medicine,People′s Hospital of Yong Cheng,Yongcheng 476600,China;Laboratory of Clinical Drug Testing and Research,Beijing Shijitan Hospital Capital Medical University,Beijing 100038,China)

机构地区：[1]北京大学人民医院高血压研究室,北京100044 [2]河南永城市中心医院医疗健康集团院长办公室,永城476600 [3]浙江省玉环市人民医院院长办公室,台州317600 [4]浙江省嘉善县第一人民医院慢病管理中心,嘉兴314100 [5]河北清河县中心医院慢病管理中心,邢台054800 [6]云南省云县人民医院院长办公室,临沧675800 [7]河南省永城市人民医院心血管内科,永城476600 [8]首都医科大学北京世纪坛医院药物临床试验研究室,北京100038

出　　处：《中华医院管理杂志》2022年第2期121-124,共4页Chinese Journal of Hospital Administration

摘　　要：目的调查我国县级医院的高血压专科建设情况和慢性病管理状况,为提升县域内高血压慢性病的规范化管理水平提供参考。方法2020年9—11月,课题组按照自愿参与原则,纳入我国24个省份的597家县级医院,对医院的高血压专科设置、专业队伍建设以及高血压慢性病管理制度等进行问卷调查。所有调查数据进行描述性分析。结果597家县级医院中,54家(13.5%)设置了独立的高血压专业科室,147家(24.6%)有高血压门诊,143家(24.0%)有高血压病床,294家(49.2%)有高血压专科团队;431家(72.2%)医院的门诊有高血压诊治流程,454家(76.0%)病房内有高血压诊治流程,535家(89.6%)的医院有高血压转诊流程;473家(79.2%)医院作为牵头单位建立了县域医疗共同体,其中紧密型167个;97.7%的医院配备基本的高血压危险分层筛查项目,63.8%可进行继发性高血压初筛。结论我国县级医院的高血压慢性病规范化管理布局基本形成,但仍有提升空间。未来应重点加强高血压专业队伍建设,强化高血压诊疗规范化管理,畅通高血压分级诊疗路径,以提升我国高血压慢性病健康管理水平。Objective To investigate the development of hypertension specialty and chronic disease management of county-level hospitals in China,for reference in improving the standardized chronic disease management level of hypertension in the counties.Methods From September to November 2020,a questionnaire survey on 597 county-level hospitals in 24 provinces was conducted on a voluntary basis.The survey covered such areas as the setup of hypertension specialty,team building of professionals and the management regulations of chronic hypertension of the hospital.The survey data were analyzed by descriptive statistics.Results Among the 597 county-level hospitals,54(13.5%)hospitals had independent hypertension departments,147(24.6%)had hypertension clinics,and 143(24.0%)hospitals had hypertension beds.431(72.2%)hospitals had hypertension diagnosis and treatment process in outpatient clinics,454(76.0%)hospitals had hypertension diagnosis and treatment process in wards,and 535(89.6%)hospitals had graded diagnosis and treatment process of hypertension.473(79.2%)hospitals had established county medical alliance as the lead unit,including 167 compact medical alliances.97.7%of the hospitals were equipped with basic hypertension risk stratification screening items,and 63.8%could carry out primary screening of secondary hypertension.Conclusions The pattern of chronic diseases management of hypertension in county-level medical institutions has basically taken shape,but there is still room for improvement.In the future,we should focus on the construction of professional teams of hypertension,the standardized management of diagnosis and treatment of hypertension,and a smoother path of tiered medical service,so as to increase the health management level of hypertension in China.

关 键 词：高血压 县级医院 慢性病管理 分级诊疗 问卷调查 

分 类 号：R197.32[医药卫生—卫生事业管理]