健康体检和健康管理一体化对城市职业人群慢性病防治意义的探讨  

Exploration of significance and model for the integration of health examination and health management on chronic diseases prevention in urban occupational population

作　　者：胡君 姜涌斌 徐小炮 刘梅 丁丽敏 Hu Jun;Jiang Yongbin;Xu Xiaopao;Liu Mei;Ding Limin(Department of Health Management,Huadong Sanatorium,Wuxi 214065,China)

机构地区：[1]华东疗养院健康管理中心,无锡214065

出　　处：《中国临床保健杂志》2023年第1期70-73,共4页Chinese Journal of Clinical Healthcare

基　　金：华东疗养院第二轮学科建设子项目(201908);华东疗养院第十届院级课题(202018)。

摘　　要：目的 探讨健康体检和健康管理一体化服务模式对改善城市职业人群生活方式和防治慢性病的价值。方法 建立“全流程、信息化、多学科”的一体化健康体检和健康管理服务模式,由健康管理科对2019年在华东疗养院体检的上海市职业人群1 774例进行持续1年以上的健康管理服务。采用t检验和Pearson卡方检验比较健康管理前后城市职业人群生活方式和慢性病防治情况。结果 健康管理后,2020年同人群体育锻炼人数和时长较2019年增多,血压、血糖、血尿酸、血脂等代谢指标和颈动脉斑块、幽门螺杆菌感染等慢性病检出率较2019年降低(P值均<0.05)。结论 健康体检和健康管理一体化服务模式有助于改善城市职业人群不良生活方式,纠正代谢异常,防治多种慢性病。Objective To explore the influence of integrated health examination and health management service mode in improving the lifestyle and preventing chronic diseases in urban occupation alpopulation.Methods To establish the integrated health examination and health management service mode of “whole process, informatization and multidisciplinary” in our hospital, the team of health management department carried out health management for 1 774 occupational population in Shanghai who had physical examination in our hospital in 2019 for more than one year.T test and Pearson chi-square test were used to compare the changes of life style, metabolic indicators and detection rate of chronic diseases after our management.Results After health management, the number and duration of physical exercise in 2020 increased than those in 2019,the metabolic indexes such as blood pressure, blood glucose, blood uric acid and blood lipid decreased, and the incidence of chronic diseases such as carotid plaque and Helicobacter pylori infection decreased than those in 2019(all P<0.05).Conclusions The integrated health examination and health management service mode can improve the life style, correct metabolic abnormalities, and delay the occurrence and development of various chronic diseases in urban occupational population.

关 键 词：慢性病 体格检查 疾病管理 卫生保健提供 生活方式 

分 类 号：R197.1[医药卫生—卫生事业管理]