中国全科医学Issue(4)：470-473,4.DOI:10.3969/j.issn.1007-9572.2016.04.024
基于家庭医生制度的抗菌药物社区健康教育及实施效果分析
The Community Health Education of Antibacterial Agents Based on Family Doctor System and Its Implementation Effect
摘要
Abstract
Objective To explore the community health education of antibacterial agents based on family doctor system and its implementation effect. Methods We enrolled 21 family doctors who conducted medical practice in Huacao Community Health Service Center from December 2012 to December 2014. The community health education of antibacterial agents based on family doctor system and with family doctor as service subjects was carried. Comparison was made in the usage rate and the expense ratio of antibacterial agents in the central outpatient department and the scores of family doctors′ working pressure relevant to antibacterial agents and the compliance of service objects between before and after the implementation of health education. Results Before and after implementation of the health education,we distributed 21 questionnaires,20 effective questionnaires were returned with an effective returning rate of 95. 23% . The usage rate of antibacterial agents〔 9. 04% ( 34 744 / 384 490 ) vs. 13. 87% (52 623 / 379 395)〕and expense ratio〔2. 59% (757 459. 27 / 29 210 130. 21) vs. 4. 24% (1 235 961. 76/ 29 126 255. 79)〕after the implementation of community health education were lower than those before the implementation(χ2 values were 4 405. 19 and 120 353. 07,P < 0. 01). The score of family doctors′ working pressure relevant to antibacterial agents〔(12. 85 ± 4. 06)vs. (18. 00 ± 2. 24)〕and the score of the compliance of service objects〔(11. 45 ± 3. 56) vs. (16. 25 ± 3. 42)〕after the implementation of community health education were lower than those before the implementation(t values were 7. 91 and 5. 86,P < 0. 01). Conclusion Community health education of antibacterial agents based on family doctor system could effectively reduce the usage rate and expense ratio of antibacterial agents,alleviate the working pressure of family doctors and improve the compliance of service subjects.关键词
家庭医生制度/抗菌药/社区健康教育/实施效果Key words
Family doctor system/Anti - bacterial agents/Community health education/Implementation effect分类
医药卫生引用本文复制引用
刘帅,顾卫英..基于家庭医生制度的抗菌药物社区健康教育及实施效果分析[J].中国全科医学,2016,(4):470-473,4.基金项目
上海市闵行区卫生与计划生育委员会基金资助项目（2012MW60）---社区居民抗菌药物知晓与需求状况调查及健康教育对策 （）
