首页|"医防融合"模式下社区家庭医生团队服务效果研究

"医防融合"模式下社区家庭医生团队服务效果研究

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目的:分析"医防融合"模式下的家庭医生团队的服务效果,提高家庭医生团队的服务质量.方法:收集和研究家庭医生团队服务的质量控制情况和 1 164 名慢性病居民连续 2 年问卷及体检指标和资料.慢性病居民中男性504 名,女性 660 名.分析家庭医生团队服务的效果.结果:2020-2022 年高血压和糖尿病的规范管理率、糖化血红蛋白检测率、精神障碍患者规律服药率的变化趋势均有统计学意义(均P<0.05);1 164名慢性病居民头痛、关节肿痛、手脚麻木、体育锻炼参与、超重及肥胖、血脂、脂肪肝的检出率差异均有统计学意义(均P<0.05);对家庭医生服务满意度和自理能力评估的差异均有统计学意义(均P<0.05);胸闷症状、吸烟状况、饮酒频率的差异均无统计学意义(均P>0.05).结论:"医防融合"模式提高了家庭医生团队服务质量,改善了慢性病患者的管理效果,让家庭医生团队真正成为签约居民的"健康守门人".
Study of the service effect of the community family doctor team under the mode of"medical and preventive integration"
Objective:To analyze the service effect of the family doctor team under the mode of"medical and preventive integration"to improve the service quality of the family doctor team.Methods:The service quality control of the family doctor team and the related questionnaire,physical examination indicators and data of 1 164 patients with chronic diseases for two years were collected and studied.Among the residents with chronic diseases there were 504 males and 660 females.The effect of the family doctor team service was analyzed.Results:From 2020 to 2022,there were statistically significant differences in the standard management of hypertension and diabetes,glycosylated hemoglobin detection and the change trend of regular medication in patients with mental disorders(P<0.05).Among 1 164 residents with chronic diseases there were statistically significant differences in headache,joint swelling and pain,numbness of hands and feet,physical exercise,overweight and obesity,blood lipid and fatty liver(P<0.05);there were statistically significant differences in satisfaction to the family doctors,and self-care ability evaluation(P<0.05);there were no statistically significant differences in symptoms of chest tightness,smoking status and drinking frequency(P>0.05).Conclusion:The"medical and preventive integration"mode improves the service quality of the family doctor team,and improves the management effect,which makes the family doctor team truly become the"health gatekeeper"of the contracted residents.

chronic diseasemedical and preventive integrationfamily doctor teamserviceeffect

张珂、段国威、陈红、祝娟、吴菁

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上海市金山区张堰镇社区卫生服务中心 预防保健科,上海 201514

上海市金山区张堰镇社区卫生服务中心 院部,上海 201514

慢性病 医防融合 家庭医生团队 服务 效果

金山区卫生健康专项科研课题(2020)

JSKJ-KTSQ-2020-06

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(4)