上海交通大学学报(医学版)

• 论著(卫生事业管理) • 上一篇    下一篇

医护组合模式对社区高血压疾病管理的实践探索

王甦平1,黄耀庭2,龚睿婕1,鲍 勇1   

  1. 1.上海交通大学 公共卫生学院卫生政策与管理系, 上海 200025; 2.上海新华街道社区卫生服务中心, 上海 200052
  • 出版日期:2013-12-28 发布日期:2014-01-02
  • 通讯作者: 鲍 勇, 电子信箱: baoyong@sjtu.edu.cn。
  • 作者简介:王甦平(1985—), 女, 助教, 硕士生; 电子信箱: wangsuping@shsmu.edu.cn。
  • 基金资助:
    国家自然科学基金(71373159);上海市公共卫生重点学科建设计划(12GWZX0901);上海交通大学医学院重大项目(ZD120906);上海交通大学规划基金项目
    (13YJAZH003)

Practice and exploration of doctor-nurse associated model in community hypertension management

WANG Su-ping1, HUANG Yao-ting2, GONG Rui-jie1,  BAO Yong1   

  1. 1.Department of Health Policy and Management, School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China; 2.Shanghai Xinhua Street
    Community Health Service Center, Shanghai 200052, China
  • Online:2013-12-28 Published:2014-01-02
  • Supported by:
    National Natural Science Foundation of China, 71373159; Key Disciplines Construction Program of Public Health of Shanghai, 12GWZX0901; Major
    Research Program of Shanghai Jiaotong University School of Medicine, ZD120906; Foundation of Plan of Shanghai Jiaotong University, 13YJAZH003

摘要:

目的 探讨医护组合模式对社区高血压疾病管理的效果,为家庭医生制度在社区更好地推行提供经验。方法 在家庭医生制度下,在上海新华街道社区卫生服务中心管辖的陈家巷居委会常住居民中的高血压患者间推行医护组合模式,与模式推行前高血压患者的血压情况进行比较分析。结果 推行3个月后,患者血压得到有效控制;推行6个月后,患者血压和病情的控制和管理更为显著。结论 在社区推行医护组合模式能够更好地发挥家庭医生“健康守门人”的作用,更加合理地配置已有的医疗资源,更有效地促进居民健康,同时有助提高社区居民的满意度和信任度。

关键词: 医护组合, 健康守门人, 家庭医生, 慢性高血压管理, 社区健康管理

Abstract:

Objective To discuss effect of doctor-nurse associated model in community hypertension management, and to provide experiences of implementation of family physician system in Shanghai. Methods Patients with hypertension in Chenjiaxiang Neighborhood Committee were selected to receive doctor-nurse associated model management of family physician system. The blood pressure values were measured and analyzed. Results The blood pressure was controlled effectively 3 months after practice of doctor-nurse associated model management, and there was significant improvement 6 months later. Conclusion Implementation of doctor-nurse associated model reveals the role of “goalkeeper of health” of family physicians, which would configure medical resources more rationally, improve health conditions of residents, and raise residents' satisfaction and trust.

Key words: doctor-nurse associated model, goalkeeper of health, family physician, management of chronic hypertension, health management of community