中国全科医学2017，Vol.20Issue(13)：1563-1567,5.DOI:10.3969/j.issn.1007-9572.2017.13.008
德胜社区家庭医生式服务新模式的效果研究
Effect of the New Mode of Family Doctor Service in Desheng Community
高凤娟 1王培玉 2史宇晖 1韩琤琤 1马鹏涛2
作者信息
- 1. 100191 北京市,北京大学公共卫生学院
- 2. 100120 北京市西城区德胜社区卫生服务中心
- 折叠
摘要
Abstract
Objective By the end of 2012,Beijing Xicheng District Desheng Community Health Service Center developed a new mode of services delivered by the longitudinal general practitioner team including nurse specialists.This study was conducted in order to assess the effect of this mode and to provide a reference for the first contact care and hierarchical medical system development in China.Methods The participants recruited were 220 patients with essential hypertension who newly signed the Family Doctor Service Agreement with eight general practitioner teams from the Outpatient Department of Beijing Xicheng District Desheng Community Health Service Center(community health stations are not included) between December 2012 and December 2015.They received subsequent new mode of 8-month family doctor service characterized by gradually achieving first contact care (basic medical services are covered) provided by the longitudinal general practitioner teams including nurse specialists.EUROPEP was used to evaluate the participants′ satisfaction with the family doctor service.And the data about the secondary-and tertiary-level hospital and community clinic visits,blood pressure and glycosylated hemoglobin of the participants before and after receiving the new mode of services were collected.Results The visits to the secondary-and tertiary-level hospitals paid by the participants within 8 months after signing the family doctor service were less than those during the 8 months before signing the family doctor service〔(2.34±3.45)vs (3.55±4.34),P<0.05〕.The participants paid more visits to the community clinics within 8 months after signing the family doctor service than they did within 8 months before signing the family doctor service 〔(9.74±4.62) vs (7.84±4.56),P<0.05〕.Compared with before receiving the new mode of services,after receiving this mode of services,participants with essential hypertension alone had higher blood control rate 〔73.2%(161/220) vs 56.8%(125/220),P<0.05〕,and those with essential hypertension complicated by diabetes had higher glycemic control rate 〔61.4%(54/88)vs 44.3%(39/88),P<0.05〕.Conclusion The new mode of family doctor service in Desheng community is beneficial to attract more patients to select community service.关键词
家庭医生式服务/社区卫生中心/分级诊疗/高血压/北京Key words
Family doctor service/Community health centers/Hierarchical diagnosis and treatment/Hypertension/Beijing分类
医药卫生引用本文复制引用
高凤娟,王培玉,史宇晖,韩琤琤,马鹏涛..德胜社区家庭医生式服务新模式的效果研究[J].中国全科医学,2017,20(13):1563-1567,5.
