高血压患者对家庭医生签约服务的利用现状研究
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南京医科大学医政学院

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Research on the Utilization to Family Doctor Service of Patients with Hypertension
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School of Health Policy and Management,Nanjing Medical University

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    摘要:

    目的:探究高血压患者对家庭医生签约服务的利用现状。方法:采用自制调查问卷调查南京市玄武区某社区卫生服务中心辖区内6个社区的264例高血压患者,了解患者对家庭医生签约服务的认知和利用情况、自我管理方式和血压控制效果。结果:签约患者186人,设为观察组,未签约患者78人,设为对照组;55.3%的患者对签约服务的认知有待加强;观察组对签约服务的知晓度和利用率均显著高于对照组(P0.05);转诊绿色通道和预约上门是签约患者专享服务但利用率很低;不同文化程度、不同年龄的患者对签约服务的利用率有差别(P0.05);观察组自我管理依从性和血压控制效果显著优于对照组(P0.05)。结论:需要加大宣传力度,大力培养全科人才,建立有效的考核机制和激励机制,完善配套政策措施,建立“朋友式”医患关系,以满足居民日益增长的医疗卫生需求。

    Abstract:

    Objective: To investigate the utilization to family doctor services of hypertensive patients. Methods: Self-made questionnaires were distributed to 264 hypertensive patients who come from 6 communities administrated by A community healthcare center of Xuanwu District in Nanjing. The cognition and utilization to family doctor services, self-management behavior and the effectiveness of blood pressure control were investigated by means of the questionnaire. Results: 186 patients have family doctors (observation group) with 78 patients without family doctors (control group);55.3% of patients are insufficiently aware of family doctor services;The awareness and the utilization rates to family doctor services in observation group are higher than that in control group(P0.05); Green channel of referral and family medical service are exclusive for patients with family doctors, but utilization rates are both very low; The utilization rates to family doctor services of people with different education background or age are different(P0.05). The compliance on self-management behavior and the effectiveness of blood pressure control in observation group are better than that in control group(P0.05). Conclusion: In order to meet the increasing medical need of residents, it is necessary to make better publicity, cultivate more qualified general practitioners, establish efficient assessing and incentive mechanism, improve supporting policy and measures and create doctor-patient relationship based on friendship.

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  • 收稿日期:2018-02-22
  • 最后修改日期:2018-03-25
  • 录用日期:2018-06-29
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