中国全科医学Issue(1)：81-84,4.DOI:10.3969/j.issn.1007-9572.2015.01.021
基于区域医疗联合体的社区高血压患者的健康管理效果研究
Health Management EffeCt of Community Hypertension Patients Based on the Regional MediCal AssoCiation
摘要
Abstract
[AbstraCt] ObjeCtive To evaluate the effects of management based on regional medical association in community hypertension patients. Methods In January,2011,600 patients with essential hypertension were enrolled as observation group randomly chosen from the chronic disease management information system in A community health service organization. Using the same method,another 512 patients with essential hypertension were enrolled as control group from B community health service organization. Routine diagnosis and treatment were used in the control group,while the related mechanisms of the regional medical association were used in the observation group in addition of the routine diagnosis and treatment. The follow _ up time was 3 years. The standardized management(visiting rate,management rate and control rate of blood pressure)and patientsˊ behavior changes(medication compliance,salt _ intake control,drinking and smoking)and the averaged monthly medical expenses were compared between the two groups both before and after the intervention. Results Before intervention,no significant differences were found in medication compliance,salt _ intake control,smoking and drinking and in standardized visiting rate,management rate and blood pressure control rate( p > 0. 05). After intervention,the medication compliance rate and salt _ intake control rate and visiting rate,management rate and blood pressure control rate in observation group were higher than those in control group;smoking and drinking rates in observation group were lower than those in control group,all with significant differences <br> (p < 0. 05). And mean monthly medical expenses in observation group were lower than that in control group〔(278 ± 68)vs. (290 ± 63)〕and the difference was statistically significant(p < 0. 05). ConClusion The regional medical association of third_ level hospitals and community health service organizations can improve the validity and continuity of management of hypertensive patients in the community.关键词
高血压/区域医疗联合体/三级医院/社区卫生服务机构Key words
Hypertension/Regional medical association/Third _ level hospital/Community health service organization分类
医药卫生引用本文复制引用
张琦,杨理力,许志红,张玲,赵丽君,周侃,张颖群,张志梅,李瑞萍,李晶..基于区域医疗联合体的社区高血压患者的健康管理效果研究[J].中国全科医学,2015,(1):81-84,4.基金项目
山西省科技厅攻关项目 （）
