我国全科医生及乡村医生签约服务进展及初步效果.pdfVIP

《中国卫生经济》第35卷第3期(总第397期) 2016年3 月 口基层卫生服务 我国全科医生及乡村医生签约服务进展及初步效果 秦江梅①，林春梅②，张幸②，张丽芳①，张艳春① 摘 要 目的:探讨城乡居民全科及乡村医生签约服务现状和效果。方法:利用。 2014年基层卫生综合改革重点联系点监 测敛据，采用卡方检验和Logistic 回归模型进行分析。结果:被调查居民签约率为38.40%，农村离子城市;城市高血压患者签 约率为40.13%，低于农村;城乡糖尿病患者签约率分别为44β7%和47.89%，无统计学差异。 在家庭健靡档案建档率、藏得医 务人员主动服务比例、离血压患者血压控制率及糖原病患者血精控制率方面，签约家庭均高于未签约家庭。Logistic 回归分析 显示，签约商血压患者血压控制率是未签约者的1.27 倍，签约糖原病患者血自控制率是未签约者的1.40倍。结论:签约服务使 全科医生职责更明确，服务更主动，慢性病管理更加人性化，加强了慢性病患者对健靡的关注、认识和参与，提高了慢性病防 治效果。 关键词 全科医生;乡村医生;签约服务;慢性非传染性疾病;管理率;控制率 中图分类号 R1-9j R197 . 1 文献标志码 A 文章编号 1003-0743(2016)03-0060-03 DOI 10.7664/CH The Progress and Elementary Achievement of Contract 8ased Service Delivery by General Practitioner and Rural Doc- tors in China/QIN Jiang-mei , LIN Chun-mei, ZHANG Xing , et alJIChinese Health Economics, 2016,35(3):60-62 Abstract Objective: To analyze the status and progress of contract based service delivery by general practitioners(GPs) in the ur唰 ban and rural areas. Methods: The 2014 supervision data from the key contact points of primary health comprehensive 陀form were ap- plied conduct the analysis based on Chi-s甲are test and logistic regression model. Results: The signing rate of the surveyed residents was 38.40%, the rural aleas were higher than the urban areas; the signing rate of urban patients with hypertension was 40.1 %, which was lower than that in rural areas; the signing rates of urban and rural patients with diabetes were 44.07% and 47.89% , which had no statistical difIerence. Accordingω 出e rates of establishing health record files , getting active services from GPs and controlling hyper- tension and diabetes, the families under contract were all higher than that not under contract. 1ρgistic regression analysis showed that the control rate of hypertension of patients under